[A case of XXXX complicated with cryoglobulinemia, nephrogenic diabetes insipidus, and @entity8 ].

@entity1 @entity2011 @entity8777 @entity8 @entity6540 @entity2133 @entity1951 @entity3157 @entity786 @entity520 @entity2010 @entity244 @entity1011 @entity925 @entity617 @entity22
A 68-year-old @entity1 had been complained of @entity2133 since she was 30 years old. Further symptoms of @entity2011 , polyposia and @entity22 had been developed since she was 35 years old. The biopsy material from a minor salivary gland demonstrated the infiltration of lymphocytes into mesenchyme which was compatible with @entity244 . She admitted to our hospital because of @entity925 in bilateral gastrocnemius and petechiae in both lower extremities in addition to the complaints described above. Complete blood cell counts on admission revealed hemoglobin 9.7 g/dl, platelet count 12.5 x 10(4)/microliters, and white blood cell count 3,300/microliters. Marked @entity2011 , polyposia (more than 5,000 ml/day, respectively) and low urine gravity (1.005) were observed, although the serum @entity1011 level showed normal value. Serologic examination showed that the elevation of total serum protein concentration (9.5 g/dl) with marked elevation of serum IgG level (6,190 mg/dl). Her immunoglobulins contained cryoglobulin (cryocrit 20%), and immunoelectrophoresis demonstrated the existence of IgG-kappa monoclonal protein. A positive anti-nuclear antibody at 1:320 dilution, a positive rheumatoid factor and a positive antibody to @entity6540 (Ro) were also observed. The serial studies of blood gas analysis could not demonstrated the presence of @entity520 . Together with the result of elevated plasma antidiuretic hormone level and results of @entity1951 test, Fishberg's concentrating test and the tests of the overload of @entity8777 or @entity3157 , she was diagnosed @entity244 with both @entity2010 and @entity8 . She was initially medicated with @entity617 (40 mg/day, orally), then she was given six courses of intravenous @entity786 (750 mg/body/month).(ABSTRACT TRUNCATED AT 250 WORDS)
