Polycythemia in Maintenance Hemodialysis: One Case Report and Literature Review

Author:LIAO Ying, CHEN Xiu-ping, ZHOU Xue-yan

affiliation: Department of Nephrology, The Second People's Hospital of Shenzhen, Shenzhen 518035, Guangdong Province, China

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Abstract

Objective To summarize the cause of the patients in maintenance hemodialysis with abnormal elevated hemoglobin. Methods The clinical data of the patient in hemodialysis center of Bijie qixingguang district people's hospital was analyzed and the literature was reviewed. Results There was a young man with uremia, who had not clinical manifestations of hepatosplenomegaly and long-term chronic hypoxia. He had received hemodialysis treatment regularly for five years, and had received erythropoietin and iron supplements treatment to correct renal anemia. During three months, the hemoglobin has risen from 71g/L to 149g/L. But the hemoglobin was still rising progressively up to 173 g/L even erythropoietin and iron supplements treatment were stopped. Conclusion It must be pay attention to secondary polycythemia vera when the hemoglobin abnormal rising in patients with uremia.

【Keyword】Uremia; Hemodialysis; Elevated Hemoglobin; Polycythemia

【Chart number】R692.5;R555

【Document Identification Number】A

【DOI】10.3969/j.issn.1009-3257.2016.04.020