El Khattabi Abdessadek, Tabache Fatima, Baaj Mohammed, Abouzahir Ali, Ghafir Driss, Ohayon Victor, Archane Moulay-Idriss
Service de Médecine Interne B , Hôpital Militaire d'Instruction Mohammed-V, CHU, BP 1018, Riad-Rabat, Maroc.
Ann Med Interne (Paris). 2003 May;154(3):176-8.
Gastrointestinal bleeding, an uncommon complication of polycythemia can be the inaugural sign in exceptional cases.
A 35-year-old patient was hospitalized for upper gastrointestinal bleeding. Physical examination and laboratory tests led to the diagnosis of polycythemia (Vaquez disease). Gastroscopy showed an hemorrhagic bulber ulcer. Outcome was favorable after chemotherapy and antinuclear treatment.
Based on this observation and data in the literature we propose that this unusual presentation would suggest a relationship between polycythemia and ulcer disease.
胃肠道出血是真性红细胞增多症的一种罕见并发症，在特殊情况下可能是首发症状。
一名35岁患者因上消化道出血住院。体格检查和实验室检查确诊为真性红细胞增多症（瓦凯兹病）。胃镜检查显示球部出血性溃疡。化疗和抗核治疗后预后良好。
基于该病例观察及文献数据，我们认为这种不寻常的表现提示真性红细胞增多症与溃疡病之间可能存在关联。
