Polycythemia vera ultrasound: Difference between revisions

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==Ultrasound==
==Ultrasound==
The role of abdominal ultrasound is to facilitate assessment of the [[spleen]] and [[liver]]. Patients with polycythemia vera or other myeloproliferative neoplasms frequently have enlarged [[Spleen|spleens]]. Ultrasound allows for quantitative assessment of the [[spleen]] size. It can also detect [[liver enlargement]], or [[hepatosplenomegaly]]. Abdominal fluid such as [[ascites]] can also be detected.<ref name="pmid25143825">{{cite journal| author=Khan J, Sykes DB| title=Case report: a 37-year-old male with telangiectasias, polycythemia vera, perinephric fluid collections, and intrapulmonary shunting. | journal=BMC Hematol | year= 2014 | volume= 14 | issue= 1 | pages= 11 | pmid=25143825 | doi=10.1186/2052-1839-14-11 | pmc=PMC4138393 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25143825  }} </ref>
Echocardiography/ultrasound may be helpful in the diagnosis of polycythemia vera. Findings on an ultrasound suggestive of polycythemia vera include:<ref name="pmid25143825">{{cite journal| author=Khan J, Sykes DB| title=Case report: a 37-year-old male with telangiectasias, polycythemia vera, perinephric fluid collections, and intrapulmonary shunting. | journal=BMC Hematol | year= 2014 | volume= 14 | issue= 1 | pages= 11 | pmid=25143825 | doi=10.1186/2052-1839-14-11 | pmc=PMC4138393 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25143825  }} </ref>
Echocardiography/ultrasound may be helpful in the diagnosis of polycythemia vera. Findings on an ultrasound suggestive of polycythemia vera include:<ref name="pmid25143825">{{cite journal| author=Khan J, Sykes DB| title=Case report: a 37-year-old male with telangiectasias, polycythemia vera, perinephric fluid collections, and intrapulmonary shunting. | journal=BMC Hematol | year= 2014 | volume= 14 | issue= 1 | pages= 11 | pmid=25143825 | doi=10.1186/2052-1839-14-11 | pmc=PMC4138393 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25143825  }} </ref>
*Splenomegaly
*Splenomegaly
Line 12: Line 11:
*Ascites
*Ascites
*Deep vein thrombosis  
*Deep vein thrombosis  
==Lower Extremity Ultrasound==
Lower extremity [[ultrasound]] is particularly useful in patients who are suspected of having [[deep vein thrombosis]], which is commonly found in patients with polycythemia vera. [[Ultrasonography]] of the deep veins is indicated for patients with polycythemia vera who develop leg swelling, [[erythema]], or pain.
==Upper Extremity Ultrasound==
In rare cases, polycythemia vera can result in upper extremity thrombosis. Upper extremity [[ultrasonography]] can help with diagnosis of an upper extremity [[deep vein thrombosis]].


==References==
==References==

Revision as of 15:31, 23 January 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohamad Alkateb, MBBCh [2] Shyam Patel [3]

Overview

Abdominal ultrasound may be helpful in the diagnosis of myeloproliferative neoplasm. Findings on abdominal ultrasound suggestive of myeloproliferative neoplasm include splenomegaly, abdominal fluid, and hepatic lesions. Ultrasound of the extremities can assist with diagnosis of deep vein thrombosis, which is commonly associated with high-risk polycythemia vera.

Ultrasound

Echocardiography/ultrasound may be helpful in the diagnosis of polycythemia vera. Findings on an ultrasound suggestive of polycythemia vera include:[1]

  • Splenomegaly
  • Hepatomegaly
  • Ascites
  • Deep vein thrombosis

References

  1. Khan J, Sykes DB (2014). "Case report: a 37-year-old male with telangiectasias, polycythemia vera, perinephric fluid collections, and intrapulmonary shunting". BMC Hematol. 14 (1): 11. doi:10.1186/2052-1839-14-11. PMC 4138393. PMID 25143825.

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