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Scholars Journal of Medical Case Reports | Volume-6 | Issue-05
Gaisbock’s Syndrome: A Rare Cause of Hypertensive Emergency
Apoorv Gupta, Amit Daphale, Sourya Acharya, Samarth Shukla, Simran Kaur Bains
Published: May 30, 2018 |
316
250
DOI: 10.36347/sjmcr.2018.v06i05.005
Pages: 307-309
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Abstract
Gaisböck Syndrome is a condition characterized by apparent polycythemia, in the absence of an elevated red cell mass, because of plasma volume contraction. There is no true polycythemia. It is a coincidence of polycythemia and hypertension. As these patients are followed up with persistently elevated hematocrit values, it becomes evident that this entity is distinct from polycythemia vera. This is important since patients who have had neither an elevated total red blood cell volume, nor polycythemia vera, have been treated by phlebotomy and radioactive phosphorus. This error in diagnosis and treatment is more common than is realized. We present a case of a 40 year old male who presented with elevated hematocrit levels with hypertension and was finally diagnosed to be a case of gaisbock’s syndrome.