Review of One Misdiagnosed Case of Polycythemia Vera
LI Hao-yu
Abstract：Objective To investigate the diagnosis of polycythemia vera(PV) with related complications so as to a-void mistakes. Methods Clinical data of a PV patient was retrospectively analyzed. Results An elderly man first diagnosed as having diabetes, hypertension and HBV induced cirrhosis for many years was admitted for cough, expectoration and fever for 2 days. He had been admitted 3 times for respiratory track infections, spontaneous chest wall hematoma and hypoglycemia last year. CBC tests showed that his red cells was 7. 49-8. 68 × 1012 / L, hemoglobin was 182-201 g/ L, white cells was 9. 72-19. 81 × 109 / L. CBC results, gene mutation test and bone marrow smears confirmed the diagnosis of PV with diabetes. DNA quantification proved that HBC was not the cause of cirrhosis. After treatment of hydroxyurea, the patient's CBC got a complete remission in a follow-up of 6 months. Conclusion PV may be complicated with diabetes or hypertension and liver dysfunc-tion. Bone marrow smears and gene mutation test are the gold standards of diagnosis. Early diagnosis and correct therapy are important for prognosis.
Keywords：Polycythemia veraDiabetes mellitusCirrhosishypertensionDiagnosis error
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 18-20 )