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Polycystic kidney disease and polycythemia vera. Occurrence in a patient receiving hemodialysis

Jermanovich, N.B.

Archives of Internal Medicine 143(9): 1822-1823

1983

ISSN/ISBN: 0003-9926
PMID: 6615111
Document Number: 208224
Symptomatic erythrocytosis developed in a 59-year-old man with polycystic kidney disease (PKD) while he was receiving maintenance hemodialysis. Major clinical and laboratory data suggested a diagnosis of polycythemia vera (PV), despite a normal serum alkaline phosphatase level and leukocyte count. Secondary erythrocytosis, related to chronic hypoxemia and increased erythropoietin production, was excluded by appropriate laboratory studies. Despite previous documentation of secondary erythrocytosis in patients receiving hemodialysis, to my knowledge, PV has not been described in this population.

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