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==Overview==
==Overview==
People with Essential thrombocytosis are usually asymptomatic. Symptoms of ET may arise from vascular occlusion by thrombi or bleeding and may include vision disturbances, chest pain, intense burning pain in hands or feet([[erythromelalgia]]), numbness and tingling of hands and feet, [[priapism]] (persistent and painful erection of the penis). Neurologic symptoms like headache may occur but the pathophysiology is not completely understood. Rarely a family history may be present in patients with familial essential thrombocytosis.
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.


==History and symptoms==
==History and symptoms==
*People with Essential thrombocytosis are usually asymptomatic. Patients may have symptoms of minimal bleeding that 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. Symptoms depend on the blood vessel involved.  
*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:  
*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]]
**[[Dizziness]]
**Vision disturbances
**Vision disturbances (transient monocular blindness, scintillating scotomas, blurred vision)
**Chest pain
**Chest pain
**Intense burning pain in hands or feet(erythromelalgia)
**[[Transient ischemic attack]]s
**Intense burning pain in hands or feet (erythromelalgia)
**Numbness and tingling of hands and feet
**Numbness and tingling of hands and feet
**[[Priapism]] (persistent and painful erection of the penis)
**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, skin(bruises). The bleeding itself is usually minimal.
*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>
*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

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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.


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