Table 2.

Findings that should prompt evaluation for cryoglobulinemia

Clinical signsLaboratory findingsHistopathologic findings
Skin purpura Unexplained hypocomplementemia (especially low C4) Leukocytoclastic vasculitis 
Livedo reticularis Unexplained increased RF activity Membranoproliferative glomerulonephritis 
Raynaud’s phenomenon Positive hepatitis C virus Small vessel hyaline thrombi 
Acrocyanosis Red blood cell urine casts  
Cutaneous ischemia and ulcers Proteinuria ± active sediment  
Arthralgia and arthritis   
Peripheral neuropathy   
Cold sensitivity, especially in patients with a monoclonal gammopathy   
Clinical signsLaboratory findingsHistopathologic findings
Skin purpura Unexplained hypocomplementemia (especially low C4) Leukocytoclastic vasculitis 
Livedo reticularis Unexplained increased RF activity Membranoproliferative glomerulonephritis 
Raynaud’s phenomenon Positive hepatitis C virus Small vessel hyaline thrombi 
Acrocyanosis Red blood cell urine casts  
Cutaneous ischemia and ulcers Proteinuria ± active sediment  
Arthralgia and arthritis   
Peripheral neuropathy   
Cold sensitivity, especially in patients with a monoclonal gammopathy   

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