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t may not be as robust as standard arms' length peer-review processes. Implications These recommendations are intended to provide the best care possible during a time of altered priorities and reduced resources.Rationale Crystalglobulinemia is a rare complication of monoclonal gammopathy wherein crystallized immunoglobulins deposit in various organs causing occlusive vasculopathy, endothelial damage, and thrombosis. It should be differentiated from light chain cast nephropathy without crystalline nephropathy through timely diagnosis with