临床诊断影像学（146）。真性红细胞增多症（PV）。

Clinics in diagnostic imaging (146). Polycythaemia vera (PV).

机构信息

Department of Diagnostic Radiology, Khoo Teck Puat Hospital, 90 Yishun Central, Singapore 768828.

出版信息

Singapore Med J. 2013 May;54(5):289-91; quiz 292. doi: 10.11622/smedj.2013111.

DOI:10.11622/smedj.2013111

Abstract

A 42-year-old Chinese man presented with left-sided chest pain and splenomegaly. Full blood count revealed erythrocytosis, while plain radiograph and computed tomography of the abdomen and pelvis revealed hepatosplenomegaly with splenic infarction. Further workup confirmed the diagnosis of polycythaemia vera. Clinical and imaging features of polycythaemia vera, as well as the potential pitfalls in image interpretation, are discussed in this article.

摘要

一位 42 岁的中国男性因左侧胸痛和脾肿大就诊。全血细胞计数显示红细胞增多，而腹部和平骨盆的 X 光和计算机断层扫描显示肝脾肿大伴脾梗死。进一步检查证实为真性红细胞增多症。本文讨论了真性红细胞增多症的临床和影像学特征，以及图像解释中的潜在陷阱。