caa a22 4500 465811833 CHVBK 20180323112118.0 cr unu---uuuuu 170327e19901201xx s 000 0 eng 10.1007/BF02377369 doi (NATIONALLICENCE)springer-10.1007/BF02377369 A case of polycythemia vera complicated by chronic renal failure under hemodialysis requiring parathyroidectomy for secondary hyperparathyroidisim [Elektronische Daten] [Seishi Inoue, Tadayasu Shono, Mieko Shono, Masayuki Azuma, Toshiaki Hirabayashi, Oshi Inagaki, Hidetaro Mori, Yoshikazu Fujita] A case of polycythemia vera complicated by chronic renal failure under maintenance hemodialysis requiring parathyroidectory (PTH) for secondary hyperparathyroidism (2° HPT) is reported. A 62 year old female presented with 75000 white blood cells (WBC)/µl, 703×104 red blood cells (RBC)/µl, 23×104 platelets (PLT)/µl, hyperuricemia and hypertension in 1970 and the diagnosis of polycythemia vera was made. Hemodialysis was started in October 1974 for chronic renal failure. Blood cells in peripheral blood rapidly decreased in number after the beginning of dialysis, reaching the level of 10000∼20000 WBC/µl, and 150∼250×104RBC/µl. In August 1988, marked bone resorption in X-ray picture and high serum alkaline phosphatase and parathyroid hormone (PTH) noted along with 17400 WBC/µl, 370×104RBC/µl and 35.9×104PLT/µl. After subtotal PTX removing 3.21g parathyroid gland, serum PTH rapidly fell. At 3 months after PTX, WBC rose to 23600/µl, RBC 372×104/µl and PLT 94.0×104/µl. At 6 months, WBC was to 31000/µl, RBC 429×104/µl and PLT 78.0×104/µl, suggesting an inhibitory action of PTH on not only RBC, but also WBC and PLT. Japanese Society of Bone Metabolism Research, 1990 Polycythemia vera nationallicence Secondary Hyperparathyroidism nationallicence Hemodialysis nationallicence Parathyroid hormone (PTH) nationallicence Uremic toxin nationallicence Inoue Seishi Dialysis Unit, Hyogo College of Medicine, 1-1, Mukogawa-Cho, 663, Nishinomiya, Hyogo, Japan aut Shono Tadayasu aut Shono Mieko aut Azuma Masayuki aut Hirabayashi Toshiaki aut Inagaki Oshi aut Mori Hidetaro aut Fujita Yoshikazu aut Journal of Bone and Mineral Metabolism Springer-Verlag 8/3(1990-12-01), 19-23 0914-8779 8:3<19 1990 8 774 https://doi.org/10.1007/BF02377369 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02377369 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Inoue Seishi Dialysis Unit, Hyogo College of Medicine, 1-1, Mukogawa-Cho, 663, Nishinomiya, Hyogo, Japan aut NATIONALLICENCE 700 1- Shono Tadayasu aut NATIONALLICENCE 700 1- Shono Mieko aut NATIONALLICENCE 700 1- Azuma Masayuki aut NATIONALLICENCE 700 1- Hirabayashi Toshiaki aut NATIONALLICENCE 700 1- Inagaki Oshi aut NATIONALLICENCE 700 1- Mori Hidetaro aut NATIONALLICENCE 700 1- Fujita Yoshikazu aut NATIONALLICENCE 773 0- Journal of Bone and Mineral Metabolism Springer-Verlag 8/3(1990-12-01), 19-23 0914-8779 8:3<19 1990 8 774 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer