Extramedullary hematopoiesis occurring as a nasal polyp in a man with a myeloproliferative disorder.
We describe the case of a patient with a known myeloproliferative disorder who presented with epistaxis and what clinically appeared to be a nasal polyp. The mass was resected and proved to represent a focus of extramedullary hematopoiesis. The patient subsequently developed extramedullary hematopoiesis of the skin and the stomach wall. Following nasal polypectomy, he did well for a time, but he eventually died as a result of other complications of his disease. This unique case serves as a reminder that common rhinologic complaints can be a sign of significant and life-threatening pathology.
Brennan
Lawrence V
LV
Department of Hematology/Oncology, St. Luke Hospital, Fort Thomas, KY 41075, USA. LBrennan@ohcmail.com
Mayer
Thomas
T
Devitt
James
J
D000368:Aged; D004844:Epistaxis / Q000503:physiopathology; D017809:Fatal Outcome; D006411:Hematopoiesis, Extramedullary / Q000502:physiology*; D006801:Humans; D008297:Male; D008533:Megakaryocytes / Q000473:pathology; D009196:Myeloproliferative Disorders / Q000150:complications*; D009298:Nasal Polyps / Q000209:etiology* / Q000601:surgery