A patient with polycythemia vera was treated with sodium phosphate P 32. The polycythemia vera converted to chronic Di Guglielmo's syndrome, with dwarfed binucleate megakaryocytes, and the patient died of acute myeloid leukemia.
Philip Eastman, Ralph O. Wallerstein, Stanley L. Schrier. Conversion of Polycythemia Vera to Chronic Di Guglielmo's Syndrome. JAMA. 1968;204(12):1141–1143. doi:10.1001/jama.1968.03140250121021