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Topics:
Medical Oncology • Internal Medicine • Rheumatology • Hematology • General Rheumatology • Cryoglobulinemic vasculitis • Dermatology
How would you approach management of an elderly patient with known mantle cell lymphoma and new diagnosis of cryoglobulinemic vasculitis with mild skin involvement, fatigue, arthralgias but no other major organ involvement?
Mantle cell lymphoma is on watch and wait approach with oncology due to low disease burden.
Labs: Type 1 cryoglobulins present, Cryocrit 1%. High RF, low C4. Skin biopsy: "Chronic vasculopathy, lymphocytic vasculitis". Hep C negative.