Abstract:Therapeutic plasma exchange was attempted on a 53-year-old female with angioimmunoblastic T-cell lymphoma with associated combined cold/warm immune hemolytic anemia and hyperviscosity syndrome from hypergammaglobulinemia. Her preprocedure hematocrit (Hct) was 16.8%, despite daily red blood cell (RBC) transfusions. Due to concern for cold agglutinins aggregating in the tubing coil within the centrifuge channel, all attempts were made to optimize the ambient temperature in the room and warm the extracorporeal tu… Show more
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