Thank you for everyone’s contributions.
Due to his history of renal disease and renal transplant it is important that we consider these as potential secondary causes of polycythaemia. However, taking a thorough history and review of previous blood results has identified that he has been polycythaemic for the past 3 years which preceded his renal issues. It is important to note that we can’t exclude post transplant polycythaemia as a contributing cause. There was nil else on his history which was indicative of another secondary cause.
We now have the outstanding blood results that you have all requested:
JAK2 V617F: Present
- What is the main cause of his polycythaemia and how what would your management be for this patient?
- What is the management of post-transplant polycythaemia and would you institute it in this case?
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