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A case of polycythaemia vera presenting with intramuscular chest wall haematoma

S Kheterpal1, F Sayegh, A Cader

  • 1General Hospital, Birmingham, UK.

A 40 year old male, previously well, presented with a posterior chest wall haematoma. Computerized tomography and ultrasound showed this to be intramuscular. Haematological indices were consistent with a diagnosis of polycythaemia vera. The haematoma and indices responded to hydroxyurea and venesection. This rare presentation of polycythaemia vera in a young person is described and the haemorrhagic complications of polycythaemia vera discussed.

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