Reimann Syndrome (Hyperviscosity Syndrome)
General: Frequently found in association with Walde 949h71j nstrm syndrome, other hyperglob-ulinemias, and occasionally with myeloma, reticulum sarcoma, and other tumors; increase in y-globulin or other dysproteinemias that affect blood viscosity (see Bing-Neel Syndrome; Waldenstrm Syndrome); leukemia.
Ocular: Nystagmus; tortuosity of conjunctival vessels; sludging phenomenon with aggregation of intravascular erythrocytes; retinal vascular tortuosity and sludging; retinal hemorrhages and exudates; micro aneurysms of various degrees and sizes; central retinal vein occlusion.
Clinical: Mucous membrane; hemorrhages; headaches; paraesthesia; ataxia; heart failure and low pulse pressure; partial loss of hearing; anorexia; vertigo; dyspnea; syncope; convulsions; peripheral edema; sausage-shaped veins.
Luxenberg MN, Mausolf FA. Retinal circulation in the hyperviscosity syndrome. Am J Ophthalmol 1970; 70:588.
Reimann HA. Hyperproteinemia as cause of autoagglutination: observations in case of myeloma. J Am Med Assoc 1932; 99:1411.
Ryan S, ed. Retina, vol. I, 2nd ed. St. Louis: Mosby, 1994.
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