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September 1983

Abnormal Liver-Spleen Scan Associated With Hyperviscosity Syndrome

Author Affiliations

From the Departments of Hematology/Oncology (Dr Guthrie) and Internal Medicine (Drs Fortson and Spearman), the Medical College of Georgia, Augusta.

Arch Intern Med. 1983;143(9):1824-1825. doi:10.1001/archinte.1983.00350090206043

• A patient with hyperviscosity syndrome was noted to have an abnormal liver radionuclide scan. Ultrasound and normalization of the liver scan after plasmapheresis confirmed the non-neoplastic nature of the patchy labeling defects. This case suggests a new cause for labeling abnormalities on liver radionuclide scans in patients with a syndrome where liver biopsies would be unusually hazardous. Possible mechanisms for this scintigraphic pattern in the hyperviscosity syndrome are briefly discussed.

(Arch Intern Med 1983;143:1824-1825)

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