title: [Gastrointestinal bleeding revealing polycythemia. A case report].
abstract: OBJECTIVE
  Gastrointestinal bleeding, an uncommon complication of polycythemia can be the inaugural sign in exceptional cases.
  
  
  METHODS
  A 35-year-old patient was hospitalized for upper gastrointestinal bleeding. Physical examination and laboratory tests led to the diagnosis of polycythemia (Vaquez disease). Gastroscopy showed an hemorrhagic bulber ulcer. Outcome was favorable after chemotherapy and antinuclear treatment.
  
  
  CONCLUSIONS
  Based on this observation and data in the literature we propose that this unusual presentation would suggest a relationship between polycythemia and ulcer disease.
authors.affiliation: Service de Médecine Interne B , Hôpital Militaire d'Instruction Mohammed-V, CHU, BP 1018, Riad-Rabat, Maroc. elabdo2002@yahoo.fr
authors.forename: Abdessadek
authors.initials: A
authors.lastname: El Khattabi
authors.forename: Fatima
authors.initials: F
authors.lastname: Tabache
authors.forename: Mohammed
authors.initials: M
authors.lastname: Baaj
authors.forename: Ali
authors.initials: A
authors.lastname: Abouzahir
authors.forename: Driss
authors.initials: D
authors.lastname: Ghafir
authors.forename: Victor
authors.initials: V
authors.lastname: Ohayon
authors.forename: Moulay-Idriss
authors.initials: MI
authors.lastname: Archane
mesh_terms: D000328:Adult; D004381:Duodenal Ulcer / Q000150:complications* / Q000209:etiology*; D005773:Gastroscopy; D006801:Humans; D008297:Male; D010438:Peptic Ulcer Hemorrhage / Q000209:etiology*; D011086:Polycythemia / Q000175:diagnosis*