26th July 2024

You are following up a patient in the haematology clinic with Waldenström’s macroglobulinaemia

You are following up a patient in the haematology clinic with Waldenström’s macroglobulinaemia. She reports that over the last few months she has noticed a burning sensation affecting both her feet. On examination you notice a loss of fine touch sensation in both legs up to her mid-shin, weakness of ankle dorsi- and plantarflexion bilaterally and reduced ankle reflexes. What is the most likely cause of this patient’s symptoms?

Select the SINGLE most appropriate option from the list below. Select ONE option only.