High Risk Essential Thrombocytemia with Coronary Arterial Disease and Arterial Thrombosis in Wangaya Hospital, Denpasar, Bali, Indonesia

We report a case of essential trombocytemia in geriatric patient. The disease is uncommon in Indonesia and it makes difficulty to make the diagnosis. It involves an overproduction of megakaryocytes in bone marrow. The abnormal function of platelets and the amount of platelets can cause a blockage in blood vessel and make others complication. In the first stage of the disease is asymptomatic. The therapy of trombocytemia is hydroxyurea at first line cytoreductive therapy at any age.