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07 February 2021 : Case report  Germany

A Case of Critical Essential Thrombocythemia Complicated by Severe Lower-Extremity Arterial Disease

Unusual clinical course, Challenging differential diagnosis, Rare disease

Daniel Messiha1ABCDEF, Monika Kleinhans2BEF, Christos Rammos1AEG, Joachim Dissemond2BDEF, Tienush Rassaf1ADEFG, Martin Steinmetz1ABCDEFG*

DOI: 10.12659/AJCR.928340

Am J Case Rep 2021; 22:e928340

Figure 1. CT-Scan and angiography of lower extremities and HE-staining of affected lesions. CT-scan shows serial stenoses of the right femoral, popliteal, anterior, and posterior tibial artery. The left-sided femoropopliteal bypass graft was occluded (A). Angiography shows reduced perfusion of the left-sided distal lower leg (B). HE-staining (40×) shows interstitial inflammation of the corium with neutrophilic inflammation and occlusion of the vasculature (arrows) (C).

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923