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Table 1 Acute life-threatening manifestations of cryoglobulinemic vasculitis [[9, 10, 11, 12, 13, 14, 20, 21, 22, 23]]

From: Vasculitic emergencies in the intensive care unit: a special focus on cryoglobulinemic vasculitis

Widespread vasculitis

- Multiple organ involvement, including the skin and at least two other organs (kidney, gut, lung, CNS)

Renal involvement

- AKI and/or oliguria

- Glomerulonephritis :

 - Membranoproliferative glomerulonephritis

 - Mesangial glomerulonephritis

 - Focal and segmental glomerulonephritis

Lung involvement

- Subclinical alveolitis

- Interstitial lung fibrosis

- Diffuse alveolar hemorrhage

Heart involvement

- Acute heart failure

- Acute coronary syndrome

Digestive tract involvement

- Ischemic bowel vasculitis

- Gastrointestinal hemorrhage

- Acute intraabdominal organ injury (pancreatitis, cholecystitis)

CNS involvement

- Stroke

- Encephalopathy with impaired cognitive function

- Brain hemorrhage

- Spinal cord involvement

Other

- Hyperviscosity syndrome

- caused by high levels of cryoglobulins

- combines acute respiratory distress, visual disturbances and retinal hemorrhage, encephalopathy with impaired cognitive function, and AKI

- B-cell lymphoproliferative disorders and related complications

- Sepsis, bacterial infections, and related complications

- Liver failure in HCV-related mixed cryoglobulinemia (acute-on-chronic hepatitis and cirrhosis)

  1. HCV = hepatitis C virus; AKI = acute kidney injury; CNS = central nervous system.