Pulmonary Hypertension in a Patient with Essential Thrombocythemia
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概要
- 論文の詳細を見る
A 67-year-old woman with essential thrombocythemia (ET) developed acute heart failure and marked pulmonary hypertension (PH). No clear cause for the PH could be initially found. We suspected that thrombocytosis might cause PH. Treatments with anticoagulant (heparin and warfarin), platelet- lowering (hydroxyurea), and antiplatelet (ticlopidine) agents resulted in improvement of the clinical, hemodynamic conditions, and the control of platelet counts. We found that the main etiology of PH in the present case might be the pulmonary capillary obstruction from local pulmonary microthrombosis complicated with ET. Although PH associated with ET is uncommon, it should be always considered as a possible cause of dyspnea in patients with ET.
- 長崎大学の論文
著者
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Kawabata S
Second Dep. Of Internal Medicine Nagasaki Univ. School Of Medicine
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Shimokawa Isao
Nagasaki Univ. Nagasaki Jpn
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Miyazaki Y
Dep. Of Lab. Medicine Nagasaki Univ. Graduate School Of Biomedical Sciences Nagasaki Univ. Hospital
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Kohno Shigeru
長崎大学医学部歯学部附属病院 薬剤部
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Sugahara Yazuyuki
長崎大学 医歯薬学総合研究科臨床検査医学講座
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Kohno Shigeru
長崎大学 第二内科
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Koga Seiji
Department Of Cardiovascular Medicine Nagasaki University Graduate School Of Biomedical Sciences
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Ikeda Satoshi
Department of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences
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Ikeda Satoshi
Second Department of Internal Medicine, Nagasaki University School of Medicine
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Matsunaga Kazuo
Department of Hematology, Nagasaki Municipal Medical Center
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Sakanaka Koji
参天製薬奈良研究開発センター
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Miyahara Yoshiyuki
2nd Department Of Internal Medicine Nagasaki University School Of Medicine
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Miyazaki Yoshitsugu
Second Department Of Internal Medicine Nagasaki University Graduate School Of Biomedical Science
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Maeda Yasuhiro
Department Of Hematology Kinki University School Of Medicine
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Ikeda Satoshi
Department Of Cardiovascular Medicine Nagasaki University Graduate School Of Biomedical Sciences
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Matsunaga Kazuo
Department Of Hematology Nagasaki Municipal Medical Center
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Miyahara Yoshiyuki
Second Department Of Internal Medicine Nagasaki University School Of Mediciene
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Miyazaki Yoshitsugu
Second Department Of Internal Medicine Nagasaki University Graduate School Of Biomedical Sciences
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Ikeda Satoshi
Second Department Of Internal Medicine Nagasaki University School Of Medicine
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