J. M. MARTT, M.D., F.A.C.P.; A. SAYMAN, M.D.; M. P. NEAL, M.D.
Twenty-five years ago an association between polycythemia and renal carcinoma was suspected and reported in the literature.1 Two years ago a case was described of polycythemia associated with unilateral hydronephrosis where the polycythemia was corrected following removal of the diseased kidney.2 Subsequently, four additional cases have been reported concerning the association of hydronephrosis with polycythemia.3-5 It has been theorized that an erythropoietic stimulus arises from the diseased kidney, inasmuch as the polycythemia is corrected upon its removal.6
The following case is another instance of the association of marked polycythemia and unilateral hydronephrosis, with remission of the polycythemia following nephrectomy. Efforts
MARTT JM, SAYMAN A, NEAL MP. POLYCYTHEMIA AND HYDRONEPHROSIS1. Ann Intern Med. ;54:790–795. doi: 10.7326/0003-4819-54-4-790
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Published: Ann Intern Med. 1961;54(4):790-795.
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