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Erythrocytosis Managed

Denis Hochstrasser, MD; Carol A. Mittelstaedt, MD; John C. Parker, MD
Arch Intern Med. 1981;141(10):1387. doi:10.1001/archinte.1981.00340100143035.
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To the Editor.  —A case of erythrocytosis was managed successfully by percutaneous aspiration of a renal cyst.

Report of a Case.  —A 66-year-old woman was referred on Aug 12, 1979, for evaluation of erythrocytosis. Twenty-five years previously, she had had a hysterectomy for fibroids, and in 1974, she underwent an operation for "pus on the left kidney." She consulted her personal physician for complaints of weakness and anorexia. A high hemoglobin level was discovered. Findings from a physical examination showed a well-developed woman with a blood pressure of 160/100 mm Hg. Except for glaucoma in the left eye, findings from the remainder of the physical examination were normal.Her packed red cell volume was 52 vol%, and her hemoglobin level was 18 g/dL. Her WBC count was 6,200/μL, and the platelet count was 280,000/μL. Her serum creatinine level, arterial blood gas level, and oxygen dissociation curve were normal. Her hemoglobin


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