Idiopathic erythrocytosis in a patient on chronic hemodialysis
Kidney Research and Clinical Practice
;
: 60-63, 2015.
Artigo
em Inglês
| WPRIM
| ID: wpr-206922
ABSTRACT
A 78-year-old man on hemodialysis presented to our hospital with erythrocytosis. He had started hemodialysis 4 years previously, with a hemoglobin level of 9.8 g/dL, and was administered erythropoiesis stimulating agents and ferrous sulfate. Two years previously, his hemoglobin level increased to 14.5 g/dL and the treatment for anemia was discontinued. He continued hemodialysis thrice weekly; however, the hemoglobin level had increased to 17.0 g/dL at the time of presenting to our hospital. His serum erythropoietin level was 31.4 mIU/mL (range, 3.7-31.5 mIU/mL), carboxyhemoglobin level was 0.6% (range, 0-1.5%), and oxygen saturation in ambient air was 95.4%. The JAK2 V617F mutation was not observed and other bone marrow abnormalities were not identified. The patient was diagnosed with bladder cancer and a transurethral resection was performed. Eight months after the treatment of bladder cancer, his hemoglobin level was 15.1 g/dL, and he was diagnosed with idiopathic erythrocytosis.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Oxigênio
/
Policitemia
/
Neoplasias da Bexiga Urinária
/
Medula Óssea
/
Carboxihemoglobina
/
Eritropoetina
/
Diálise Renal
/
Hematínicos
/
Anemia
/
Falência Renal Crônica
Limite:
Idoso
/
Humanos
Idioma:
Inglês
Revista:
Kidney Research and Clinical Practice
Ano de publicação:
2015
Tipo de documento:
Artigo
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