%0 Journal Article %T Diagn¨®stico presuntivo de la macroglobulinemia de Waldenstr m Presumptive diagnosis of the macroglobulinemia of Waldenstr m %A Ana Dolores Izquierdo Calzado %J MEDISAN %D 2012 %I Centro Provincial de Ciencias M¨¦dicas %X Se describe el caso cl¨ªnico de un paciente de 60 a os de edad, quien era atendido en su ¨¢rea de salud por presentar s¨ªntomas aparentemente banales y palidez cutaneomucosa. Las pruebas hemoqu¨ªmicas y la hematimetr¨ªa revelaron pancitopenia severa y proteinemia marcada, por lo cual se realizaron otros ex¨¢menes complementarios para comprobar la presencia de gammapat¨ªa monoclonal primaria o asociada a alg¨²n proceso neopl¨¢sico. Se hall¨® macroglobulinemia primaria, de modo que se confirm¨® la existencia de la enfermedad de Waldenstr m. The case report of a 60 year-old patient is described who was assisted in his health area for presenting apparently banal symptoms and mucocutaneous pallor. The hemochemical tests and the hematimetry revealed severe pancytopenia and marked proteinemia, reason why other complementary tests were carried out, to check the presence of primary monoclonal gammapathy or associated with some neoplasic process. Primary macroglobulinemia was found, so the existence of the disease of Waldenstr m was confirmed. %K hombre %K macroglobulinemia de Waldenstr m %K gammapat¨ªa monoclonal primaria %K pancitopenia %K proteinemia %K man %K macroglobulinemia of Waldenstr m %K primary monoclonal gammapathy %K pancytopenia %K proteinemia %U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192012000400016