Essential thrombocytosis history and symptoms: Difference between revisions

Jump to navigation Jump to search
No edit summary
No edit summary
 
(14 intermediate revisions by 2 users not shown)
Line 1: Line 1:
__NOTOC__
{{Essential thrombocytosis}}
{{Essential thrombocytosis}}
{{CMG}}
{{CMG}}{{AE}} {{STM}}


==Overview==
==Overview==
Patients with a mild form of disease are usually asymptomatic. Most of the symptoms are vascular, either from thrombii occluding small and large blood vessels, though any blood vessel may be involved. Symptoms depend on the blood vessel occluded and include but are not limited to the following:
Patients with essential thrombocytosis are usually asymptomatic. Symptoms of essential thrombocytosis include vision disturbances, transient loss of consciousness, chest pain, intense burning pain in hands or feet ([[erythromelalgia]]), numbness and tingling of hands and feet, and persistent and painful erection of the penis ([[priapism]]).<ref name="pmid17210076">{{cite journal| author=Brière JB| title=Essential thrombocythemia. | journal=Orphanet J Rare Dis | year= 2007 | volume= 2 | issue=  | pages= 3 | pmid=17210076 | doi=10.1186/1750-1172-2-3 | pmc=PMC1781427 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17210076  }} </ref> Neurologic symptoms like headache may occur but the pathophysiology is not completely understood.<ref name="pmid17210076">{{cite journal| author=Brière JB| title=Essential thrombocythemia. | journal=Orphanet J Rare Dis | year= 2007 | volume= 2 | issue=  | pages= 3 | pmid=17210076 | doi=10.1186/1750-1172-2-3 | pmc=PMC1781427 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17210076  }} </ref> A positive family history of the disease may be present in those with familial essential thrombocytosis.
*Headache, dizziness
*Vision disturbances
*Chest pain
*Intense burning pain in hands or feet(erythromelalgia)
*Numbness and tingling of hands and feet


 
==History and symptoms==
*Patients may have symptoms of minimal bleeding that can go unnoticed until diagnosis. Most of the symptoms are vascular, either from thrombi occluding small and large blood vessels, though any blood vessel may be involved or from bleeding. Symptoms depend on the blood vessel that is involved.  
   
*Symptoms of vascular occlusion may include:<ref name="pmid17210076">{{cite journal| author=Brière JB| title=Essential thrombocythemia. | journal=Orphanet J Rare Dis | year= 2007 | volume= 2 | issue=  | pages= 3 | pmid=17210076 | doi=10.1186/1750-1172-2-3 | pmc=PMC1781427 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17210076 }} </ref><ref name="pmid9263353">{{cite journal| author=Koudstaal PJ, Koudstaal A| title=Neurologic and visual symptoms in essential thrombocythemia: efficacy of low-dose aspirin. | journal=Semin Thromb Hemost | year= 1997 | volume= 23 | issue= 4 | pages= 365-70 | pmid=9263353 | doi=10.1055/s-2007-996110 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9263353 }} </ref>
 
**[[Dizziness]]
Although less common, bleeding can occur despite the increased platelet count accounting to the dysfunctional platelets.
**Vision disturbances (transient monocular blindness, scintillating scotomas, blurred vision)
 
**Chest pain
  and to  symptoms are bleeding and thrombosisOther symptoms include [[epistaxis]] (nosebleeds) and [[hemorrhage|bleeding]] from gums and gastrointestinal tract.  One characteristic symptom is throbbing and burning of the hands and feet due to the occlusion of small arterioles by platelets ([[erythromelalgia]]).
**[[Transient ischemic attack]]s
**Intense burning pain in hands or feet (erythromelalgia)
**Numbness and tingling of hands and feet
**Persistent and painful penile erections ([[Priapism]])
*Symptoms from bleeding can occur despite the increased platelet count accounting to the dysfunctional platelets. Common sites of bleeding include eyes, nose ([[epistaxis]]), gums, gastrointestinal tract, and the skin (bruises). The bleeding itself is usually minimal.
*Neurologic symptoms like headache may occur but the pathophysiology is not completely understood.<ref name="pmid17210076">{{cite journal| author=Brière JB| title=Essential thrombocythemia. | journal=Orphanet J Rare Dis | year= 2007 | volume= 2 | issue=  | pages= 3 | pmid=17210076 | doi=10.1186/1750-1172-2-3 | pmc=PMC1781427 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17210076  }} </ref>


==References==
==References==

Latest revision as of 19:56, 6 January 2016

Essential thrombocytosis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Epidemiology and Demographics

Risk Factors

Screening

Causes

Differentiating Essential thrombocytosis from other Diseases

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Essential thrombocytosis history and symptoms On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Essential thrombocytosis history and symptoms

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Essential thrombocytosis history and symptoms

CDC on Essential thrombocytosis history and symptoms

Essential thrombocytosis history and symptoms in the news

Blogs on Essential thrombocytosis history and symptoms

Directions to Hospitals Treating Essential thrombocytosis

Risk calculators and risk factors for Essential thrombocytosis history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Soujanya Thummathati, MBBS [2]

Overview

Patients with essential thrombocytosis are usually asymptomatic. Symptoms of essential thrombocytosis include vision disturbances, transient loss of consciousness, chest pain, intense burning pain in hands or feet (erythromelalgia), numbness and tingling of hands and feet, and persistent and painful erection of the penis (priapism).[1] Neurologic symptoms like headache may occur but the pathophysiology is not completely understood.[1] A positive family history of the disease may be present in those with familial essential thrombocytosis.

History and symptoms

  • Patients may have symptoms of minimal bleeding that can go unnoticed until diagnosis. Most of the symptoms are vascular, either from thrombi occluding small and large blood vessels, though any blood vessel may be involved or from bleeding. Symptoms depend on the blood vessel that is involved.
  • Symptoms of vascular occlusion may include:[1][2]
    • Dizziness
    • Vision disturbances (transient monocular blindness, scintillating scotomas, blurred vision)
    • Chest pain
    • Transient ischemic attacks
    • Intense burning pain in hands or feet (erythromelalgia)
    • Numbness and tingling of hands and feet
    • Persistent and painful penile erections (Priapism)
  • Symptoms from bleeding can occur despite the increased platelet count accounting to the dysfunctional platelets. Common sites of bleeding include eyes, nose (epistaxis), gums, gastrointestinal tract, and the skin (bruises). The bleeding itself is usually minimal.
  • Neurologic symptoms like headache may occur but the pathophysiology is not completely understood.[1]

References

  1. 1.0 1.1 1.2 1.3 Brière JB (2007). "Essential thrombocythemia". Orphanet J Rare Dis. 2: 3. doi:10.1186/1750-1172-2-3. PMC 1781427. PMID 17210076.
  2. Koudstaal PJ, Koudstaal A (1997). "Neurologic and visual symptoms in essential thrombocythemia: efficacy of low-dose aspirin". Semin Thromb Hemost. 23 (4): 365–70. doi:10.1055/s-2007-996110. PMID 9263353.


Template:WikiDoc Sources