KMID : 0359920150340010060
|
|
Korean Journal of Nephrology 2015 Volume.34 No. 1 p.60 ~ p.63
|
|
Idiopathic erythrocytosis in a patient on chronic hemodialysis
|
|
Lee Dong-Hyun
Min Ji-Hye Bae Sang-Byung Gil Hyo-Wook Yang Jong-Oh Lee Eun-Young Hong Sae-Yong
|
|
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.
|
|
KEYWORD
|
|
End-stage renal disease, Erythrocytosis, Hemodialysis
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|