TY - JOUR T1 - Paraprotein and Cryoglobulin-Associated Medium-Vessel Vasculitis JF - The Journal of Rheumatology JO - J Rheumatol SP - 1697 LP - 1698 DO - 10.3899/jrheum.100879 VL - 38 IS - 8 AU - STUART M. LEVINE AU - ALLAN C. GELBER Y1 - 2011/08/01 UR - http://www.jrheum.org/content/38/8/1697.abstract N2 - The occurrence of a severe medium-vessel vasculitis in association with Type 1 cryoglobulinemia is rare. Even after a decade of monoclonal gammopathy, paraproteinemia and cryoglobulinemia may contribute to medium-size arteritis and gangrene.A 50-year-old man with a monoclonal gammopathy of undetermined significance (MGUS) of 10 years’ duration developed mild bilateral foot paresthesias. One year later, he presented with crescendo, incapacitating right foot pain. Intense livedo reticularis and dry … ER -