Essential Thrombocythemia Complicated with Acute Myocardial Infarction

Aims: Essential thrombocythemia or thrombocytosis is an uncommon disease. It involves an overproduction of megakaryocytes in the marrow. These platelets may not function normally and can cause a blockage in blood vessels and other complications. We report one case of essential thrombocytosis with different clinical presentations.

Presentation of Case: A 50 year old gentleman came to Hospital and admitted with the diagnosis of Acute Myocardial Infarction. Further investigation via Full Blood Count revealed Essential Thrombocytosis. Management with PCI (Percutaneous Coronary Intervention) and discharged with hydroxyurea.

Discussion: We treated our patients with aspirin and hydroxyurea. As similarly noted in follow up of blood complete picture shows that it reduced the platelet count and patient showed much improvement.

Conclusion: This case is reported because it is not a common disease and to demonstrate that routine examination of blood complete picture is very important.