Renovascular hypertension and coronary heart disease complicating essential thrombocythemia期刊界 All Journals 搜尽天下杂志传播学术成果专业期刊搜索期刊信息化学术搜索

Renovascular hypertension and coronary heart disease complicating essential thrombocythemia

Authors:	ARNAR, D. O. PETURSSON, M. K. JONMUNDSSON, E. BJORNSDOTTIR, J.

Affiliation:	^*Department of Medicine, Landspitalinn, National University Hospital Reykjavik, Iceland $"{dagger}"$ Department of Radiology, Landspitalinn, National University Hospital Reykjavik Iceland $"{ddagger}"$ Department of Hematology, Landspitalinn, National University Hospital Reykjavik, Iceland

Abstract:	A 36-year-old male was evalued for treatment-resistant hypertension.A high platelet count 828. 10⁹ l¹, led to the diagnosisof essential thrombocythemia (ET). Aorto-renal angiography revealedcritical bilateral renal artery stenosis and coronary angiographyshowed three-vessel disease. Percutaneous transluminal renalangioplasty was only partially successful. The patient receiveda 12-week course of busulphan and subsequently the thrombocytecount decreased to 200. 10⁹ l¹ Renal angiography 12 monthslater showed bilateral regression of the renal artery stenosiswith lowering of the blood pressure to normal levels.

Keywords:	Essential thrombocythemia hypertension regression of stenosis renal artery stenosis
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