Coronary vasculopathy in polycythemia vera.
Pathol Oncol Res
; 4(1): 37-9, 1998.
Article
em En
| MEDLINE
| ID: mdl-9555119
ABSTRACT
Thrombosis is a common complication in polycythemia often causing death. In coronary artery occlusion, thrombosis due to hyperviscosity and thrombocytosis is mostly discussed as the origin of the infarction. We discuss the case of a 30-year-old male patient, with polycythemia, who died of myocardial infarction. On autopsy the vessels showed neither ateriosclerotic changes nor thrombotic occlusions. Instead, a marked intima proliferation was found leading to multiple occlusions whereas media and adventitia were unchanged. This pattern of a coronary vasculopathy has not been described before, and can be interpreted as an alternative mechanism for vascular occlusion in polycythemia. Similar histopathological changes have already been found in skin lesions in erythromelalgia, a common symptom in polycythemia.
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Base de dados:
MEDLINE
Assunto principal:
Policitemia Vera
/
Vasos Coronários
/
Infarto do Miocárdio
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Ano de publicação:
1998
Tipo de documento:
Article