書誌事項
- タイトル別名
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- Clinical Characteristics of Polycythemia Vera in the Elderly.
- コウレイシャ シンセイ タケツショウ ノ リンショウテキ トクチョウ ノ ケントウ
この論文をさがす
抄録
Of 43 elderly patients who were suspected to have polycythemia between October 1990 and July 1998, 12 patients showed an increased red cell volume measured by 51Cr-labeled red blood cells. We analyzed the clinical charactaristics of the 12 patients consisted of 7 men and 5 women, with a median age of 71 (range: 57-92). Chief complaints were headaches and dizziness (3 cases), symptoms of other conditions than polycythemia (4 cases). Five patients had no symptoms. Five of 6 patients over 70 years old had no symptoms due to polycythemia. Seven cases (58%) showed splenomegaly and three cases (25%) showed hepatomegaly. Laboratory findings were as follows: WBC 9.7±3.9×103/μl (mean±SD, p<0.02 vs normal control), Hb 17.9±4.2g/dl (p<0.001), Plt 39.7±26.0×104/μl, EPO 13.8±5.2mU/ml (p<0.0001), NAP score 258±114, Vit. B12 1, 686±2, 156pg/ml, arterial O2 saturation more than 92% in all cases. The diagnosis of all cases was polycythemia vera according to the diagnostic criteria of Polycythemia Vera Study Group. Associated conditions included 8 cases of thrombosis (cerebral thrombosis 4, thrombophrebitis 2, myocardial infarction 1, ischemic colitis 1) and 3 cases of malignancy (esophageal cancer 1, breast cancer 1, renal cancer 1), none of which was therapy-related cancer. Six patients (50%) had only phlebotomy, three (25%) only chemotherapy, and three (25%) both phlebotomy and chemotherapy. Patients over 80 years old needed neither intensive nor continuous treatment. Only one patient died due to esophageal cancer at age 89.
収録刊行物
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- 日本老年医学会雑誌
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日本老年医学会雑誌 36 (4), 262-267, 1999
一般社団法人 日本老年医学会
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詳細情報 詳細情報について
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- CRID
- 1390001205021845760
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- NII論文ID
- 130003444407
- 10008484477
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- NII書誌ID
- AN00199010
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- NDL書誌ID
- 4751400
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- ISSN
- 03009173
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- PubMed
- 10410570
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可
