title: Ascites and pleural effusion secondary to extramedullary hematopoiesis.
abstract: Extramedullary hematopoiesis in the pleura and peritoneum is rare. It is usually asymptomatic and generally is diagnosed on post mortem examination. Herein we describe a 33-year-old woman with long-standing myelofibrosis who presented with symptomatic ascites and pleural effusion. After complete evaluation, these were found to have been caused by extramedullary hematopoietic implants to the pleura and peritoneum. The pleural effusion responded to low-dose radiotherapy.
authors.affiliation: Department of Medicine A and Hematology, Rambam Medical Center and School of Medicine, Technion, Haifa, Israel.
authors.forename: I
authors.initials: I
authors.lastname: Oren
authors.forename: A
authors.initials: A
authors.lastname: Goldman
authors.forename: N
authors.initials: N
authors.lastname: Haddad
authors.forename: Z
authors.initials: Z
authors.lastname: Azzam
authors.forename: N
authors.initials: N
authors.lastname: Krivoy
authors.forename: G
authors.initials: G
authors.lastname: Alroy
mesh_terms: D000328:Adult; D001201:Ascites / Q000209:etiology* / Q000503:physiopathology; D003937:Diagnosis, Differential; D005260:Female; D006411:Hematopoiesis, Extramedullary; D006801:Humans; D010537:Peritoneum / Q000473:pathology* / Q000503:physiopathology; D010994:Pleura / Q000473:pathology* / Q000503:physiopathology; D010996:Pleural Effusion / Q000209:etiology* / Q000503:physiopathology; D055728:Primary Myelofibrosis / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology