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essential thrombocythemia |
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thrombocythemia /throm·bo·cy·the·mia/ (throm″bo-si-the´me-ah) thrombocytosis. essential thrombocythemia , hemorrhagic thrombocythemia a syndrome of repeated spontaneous hemorrhages, either external or into the tissues, and greatly increased number of circulating platelets. essential thrombocythemia. See thrombocytosis. essential thrombocythemia Essential thrombocytosis Hematology A primary myeloproliferative disorder of older–age 55-75–adults, or less commonly of young ♀, with a platelet count is > 600 x 109/L; ET has many clinical
features of P vera; it affects the same age group, is accompanied by splenomegaly, has similar BM findings, intensity of leukocytosis Diagnosis Polycythemia Vera Study Group criteria Treatment Hydroxyurea, a myelosuppressant, prevents recurrent
thromboses. See Polycythema vera.
Essential thrombocythemia-diagnostic criteria
1. Platelets > 1 x 109 /L (US: < 1000/mm3)
2. Hb < 2.05 mmol/L (US < 13.0 g/dL)
3. Iron in BM or if absent, little ↑ in Hb after 1 month of oral iron therapy
4. Absent marrow fibrosis by biopsy and
5. Absent Philadelphia chromosome
Polycythemia Vera Study Group
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| The JAK2 V167F Mutation Analysis -- available through both AmeriPath and Specialty Laboratories -- can aid in or confirm the diagnosis of polycythemia vera, essential thrombocythemia, or idiopathic myelofibrosis, thereby giving physicians a dynamic new diagnostic tool to more effectively manage treatment decisions for improved patient outcomes. In 1997, Roberts launched PromAmatine and Agrylin, the first Food and Drug Administration-cleared drugs for orthostatic hypotension and essential thrombocythemia, respectively. |
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