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September 1983

Polycystic Kidney Disease and Polycythemia Vera: Occurrence in a Patient Receiving Hemodialysis

Author Affiliations

From the Department of Medicine, Section of Nephrology, State University of New York Upstate Medical Center, Syracuse. Dr Jermanovich is now with Thomas Jefferson University Hospital, Philadelphia.

Arch Intern Med. 1983;143(9):1822-1823. doi:10.1001/archinte.1983.00350090204042

• Symptomatic erythrocytosis developed in a 59-year-old man with polycystic kidney disease (PKD) while he was receiving maintenance hemodialysis. Major clinical and laboratory data suggested a diagnosis of polycythemia vera (PV), despite a normal serum alkaline phosphatase level and leukocyte count. Secondary erythrocytosis, related to chronic hypoxemia and increased erythropoietin production, was excluded by appropriate laboratory studies. Despite previous documentation of secondary erythrocytosis in patients receiving hemodialysis, to my knowledge, PV has not been described in this population.

(Arch Intern Med 1983;143:1822-1823)