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Internal medicine journal · May 2017
Case ReportsA rare vascular complication in a patient with essential thrombocythaemia: spontaneous abdominal aortic dissection.
- Ye Chen, Xue Han, Fang Wang, Beibei Bai, and Yingchun Wang.
- Department of Hematology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
- Intern Med J. 2017 May 1; 47 (5): 589592589-592.
AbstractA 27-year-old woman complained of waist and back pain. Abdominal computed tomography angiography showed abdominal aortic dissection, the blood count revealed a high platelet count of 1655 × 109 /L. Negative for JAK2V617F, CALR and MPL mutations (i.e. triple-negative), the patient was diagnosed as essential thrombocythaemia (ET) with abdominal aortic dissection and was treated with cytoreduction and antiplatelet drugs. Cases of abdominal aortic dissection in ET have not been previously reported. As such, we proposed a mechanism of abdominal aortic dissection caused by endothelial dysfunction and further emphasised appropriate management in ET with abdominal aortic dissection.© 2017 Royal Australasian College of Physicians.
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