Blut

, Volume 48, Issue 3, pp 177–180

Peripheral arterial occlusion and amaurosis fugax as the first manifestation of polycythemia vera

A case report
  • Wolfgang E. Berdel
  • Wolfram Theiss
  • Ulrich Fink
  • Johann Rastetter
Short Communication

Summary

A patient with polycythemia vera, who presented digital arterial occlusion and episodic monocular blindness as the first clinical signs of the disease is described. After an early diagnosis, reduction of the cellular blood volume, and intraarterial perfusions with adenosine triphosphate (Laevadosin) followed by reserpine (Serpasil) led to adequate local tissue perfusion. No surgical intervention was required and visual disturbances disappeared. The patient has now been in a stable phase of the disease for 7 months without subsequent treatment.

Key words

Polycythemia vera Digital necrosis Arterial occlusion Amaurosis fugax 

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Copyright information

© Springer-Verlag 1984

Authors and Affiliations

  • Wolfgang E. Berdel
    • 1
  • Wolfram Theiss
    • 2
  • Ulrich Fink
    • 1
  • Johann Rastetter
    • 1
  1. 1.Abteilung für Hämatologie und OnkologieTechnische Universität MünchenMünchen 80Federal Republic of Germany
  2. 2.Abteilung für Angiologie, I. Medizinische KlinikTechnische Universität MünchenMünchen 80Federal Republic of Germany

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