Patel Kevin J, Banga Amit, Latif Shahibzada U
Department of Medicine, Michigan State University, B301 MSU Clinical Center, 138 Service Road, East Lansing, MI 48824, USA.
Cases J. 2009 Sep 11;2:7011. doi: 10.1186/1757-1626-0002-0000007011.
The cause of chest pain in patients presenting to the emergency room often remains unclear. We present a case of essential thrombocythemia as a novel cause of atypical chest pain, which responded dramatically to a simple treatment intervention.
A 54-year-old patient presenting with atypical chest pain was found to have essential thrombocythemia as a cause for her chest pain. She responded dramatically to aspirin therapy and had no recurrence of symptoms over 3 months.
Essential thrombocythemia should be considered as a differential cause in patient presenting with atypical chest pain, vasomotor symptoms and high platelet counts. These symptoms are generally more bothersome than dangerous and are usually controlled by low dose aspirin therapy.
前往急诊室就诊的胸痛患者病因常常不明。我们报告一例原发性血小板增多症作为非典型胸痛新病因的病例，该病例对一项简单的治疗干预措施反应显著。
一名54岁出现非典型胸痛的患者被发现原发性血小板增多症是其胸痛的病因。她对阿司匹林治疗反应显著，且3个月内症状未复发。
对于出现非典型胸痛、血管舒缩症状和血小板计数升高的患者，应将原发性血小板增多症视为鉴别诊断病因。这些症状通常令人困扰但并不危险，通常可通过低剂量阿司匹林治疗得到控制。
