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Polyclonal Hyperviscosity Crisis and Severe Depletion Coagulopathy Induced by Therapeutic Plasma Exchange in Sjögren's Syndrome: A Case Report and Therapeutic Dilemma

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Background and Clinical Significance: Hyperviscosity syndrome (HVS) is a rare complication of primary Sjögren's syndrome (pSS). While therapeutic plasma exchange (TPE) is the standard treatment to clear pathogenic immunoglobulins, its execution can trigger s... ...