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Erythropoietin-dependent primary pure erythrocytosis
| Content Provider | Scilit |
|---|---|
| Author | Dainiak, N. Hoffman, R. Lebowitz, Ai Solomon, L. Maffei, L. Ritchey, K. |
| Copyright Year | 1979 |
| Description | We investigated the pathogenesis of isolated erythrocytosis of 14 yr duration in a 28-yr-old man. The increase in red cell mass was attributed to increased erythropoietin production. An extensive search for recognized causes of secondary erythrocytosis was unrevealing. Family members were found to be hematologically normal. After reduction of the circulating red cell mass by 20%, erythropoietin activity nearly quadrupled, thus suggesting a normal erythropoietin response to phlebotomy. When bone marrow cells of the patient were cultured in plasma clots in the absence of added erythropoietin, endogenous erythroid colony formation was observed, a pattern previously believed to be specific for polycythemia vera bone marrow cells. Our observations suggest that the erythrocytosis in this individual is best explained by an abnormal “servoregulatory” mechanism of erythropoietin production. In addition, this is the first instance in which the rule that endogenous erythroid colony formation is correlated with the diagnosis of polycythemia vera has not held. |
| Related Links | https://ashpublications.org/blood/article-pdf/53/6/1076/206668/1076.pdf |
| Ending Page | 1084 |
| Page Count | 9 |
| Starting Page | 1076 |
| DOI | 10.1182/blood.v53.6.1076.bloodjournal5361076 |
| Journal | Blood |
| Issue Number | 6 |
| Volume Number | 53 |
| Language | English |
| Publisher | American Society of Hematology |
| Publisher Date | 1979-06-01 |
| Access Restriction | Open |
| Subject Keyword | Hematology Bone Marrow Erythropoietin Colony Erythrocytosis Erythroid Endogenous Polycythemia Vera Journal: Blood (Vol- 86, Issue- 6) |
| Content Type | Text |
| Resource Type | Article |