Abstract
A 27-year-old male was referred to the hematology polyclinic with complaints of dizziness that had been felt since the previous month. The patient had a history of end-stage renal disease and underwent a successful right kidney transplant nine months previously. Examination of the complete blood count (CBC) showed an increase in hemoglobin levels (17.88 g/dL) and hematocrit (60.14%). The patient was diagnosed with post-transplant erythrocytosis (PTE) based on persistent erythrocytosis and exclusion of other causes of erythrocytosis. Treatment with a combination of phlebotomy and ACE inhibitors can achieve the expected hemoglobin and hematocrit targets.
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