JAMES P. CROWLEY, M.D.
To the editor: I read with interest the recent report (1) on the neurologic manifestations of essential thrombocythemia. From their finding that 21 of 33 patients with essential thrombocythemia had neurologic manifestations, the authors conclude that neurologic complications are common in patients with this disease. However, as the authors indicate, many patients who have evidence on bone marrow examination of myeloproliferation and an elevated platelet count do not have any problem with thrombosis or neurologic complaints. What surely must be one of the highest platelet counts ever recorded in the literature (14 X 106/uL) was seen in a patient at
CROWLEY JP. Neurologic Manifestations of Essential Thrombocythemia. Ann Intern Med. ;100:316–317. doi: 10.7326/0003-4819-100-2-316_3
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Published: Ann Intern Med. 1984;100(2):316-317.
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