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논문분류 춘계학술대회 초록집
제목 Erythrocytosis associated with Bladder Cancer in a Patient Undergoing Chronic Hemodialysis
저자 Dong Hyun Lee, Ji Hye Min, Sang Byung Bae, Hyo Wook Gil,Jong Oh Yang, Eun Young Lee, Sae Yong Hong
출판정보 2014; 2014(1):
키워드 Erythrocytosis, End-stage renal disease, Hemodialysis, Bladder cancer
초록 A 78-year-old man undergoing hemodialysis presented with erythrocytosis. He had commenced hemodialysis 4 years prior with a hemoglobin level of 9.8 g/dL and was administered erythropoiesis stimulating agents and ferrous sulfate. After 2 years of this treatment, his hemoglobin level increased to 14.5 g/dL; treatment for anemia was therefore discontinued. Hemodialysis was continued thrice weekly. When he visited our hospital, his hemoglobin level had increased to 17.0 g/dL. The levels of serum erythropoietin, carboxyhemoglobin, and oxygen saturation in ambient air were 31.4 mIU/mL, 0.6%, and 95.4%, respectively; a JAK2 V617F mutation was not observed, and other bone marrow abnormalities were not identified. He complained of painless gross hematuria during his initial visit. Computed tomographic and cystoscopic exams revealed bladder cancer, for which a transurethral resection was performed. Four months after the treatment of bladder cancer, the hemoglobin level decreased to 14.6 g/dL. The patient is currently being monitored closely.
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