Korean J Nephrol.
2005 May;24(3):485-488.
A Case of Idiopathic Erythrocytosis in a CAPD Patient
- Affiliations
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- 1Department of Internal Medicine, Nephrology Center, College of Medicine, Korea University, Seoul, Korea. hyoung@korea.ac.kr
- 2Pathology Center, College of Medicine, Korea University, Seoul, Korea.
Abstract
- We have experienced a case of idiopathic erythrocytosis developed in a patient with end stage renal disease who had switched to CAPD from hemodialysis. Hemoglobin levels gradually increased from 8 to 19.0 mg/dl, resulting in various symptoms from hyperviscosity during the first 2 months after the initiation of CAPD. There were no other possible causes of secondary erythrocytosis, such as hypoxia, erythropoietin -producing tumor or acquired cyst. Serum level of IGF-1 was above the normal range in contrast with low serum levels in CAPD patients with anemia. Increased IGF-1 levels may possibly influence on the development of erythrocytosis in this case.
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