case_images: PMC6663046_01
case_images: Physical examination revealed significant and generalized oedema
case_images: 1156_Fig1.jpg
case_images: PMC6663046_01_1156_Fig1.jpg
case_images: f1-156-1-8331-2-10-20190620
case_images: He presented with generalized oedema, but no skin flushing, urticaria, focal angioedema, stridor or lymphadenopathy was detected (Fig. 1).
case_images: Top panels: cardiovascular MRI did not show any relevant changes. Bottom panel: contrast-enhanced CT image of the abdomen without signs of acute ischaemic or non-viable gastrointestinal segments
case_images: 1156_Fig2.jpg
case_images: PMC6663046_01_1156_Fig2.jpg
case_images: f2-156-1-8331-2-10-20190620
case_images: A thoracic x-ray, urinary study with 24-hour urine collection, a contrast-enhanced thoracoabdominal CT scan, and abdominal and renal ultrasound were all normal (Fig. 2). Transthoracic echocardiography and cardiovascular MRI did not show any relevant changes (Fig. 2).
case_images: Upper and small bowel capsule endoscopy did not show any lesions or other relevant changes
case_images: 1156_Fig3.jpg
case_images: PMC6663046_01_1156_Fig3.jpg
case_images: f3-156-1-8331-2-10-20190620
case_images: Serum protein electrophoresis revealing monoclonal gamma/lambda gammopathy (IgG1) of unknown significance with lambda light chains, confirmed by an immunofixation study
case_images: 1156_Fig4.jpg
case_images: PMC6663046_01_1156_Fig4.jpg
case_images: f4-156-1-8331-2-10-20190620