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Primary Polycythemia

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by Haughton AN

(Polycythemia Vera [PCV]; Polycythemia Rubra Vera [PRV]; Erythremia)

 

Symptoms

The symptoms of primary polycythemia occur gradually and vary from person to person. Some people show no signs of the condition. Symptoms may include:
  • Abnormal and heavy bleeding due to a cut or a nosebleed
  • Intense and frequent bone pain and/or muscle pain
  • Headaches, lightheadedness, or gastrointestinal symptoms
  • Vision problems
  • Ringing in the ears
  • Difficulty or labored breathing
  • The color of the skin appears reddish
  • Fatigue
  • Inability to concentrate
  • Intense itching after a warm or hot bath, shower, or any activity that requires soaking your skin in warm or hot water
 

RESOURCES

American Society of Hematology
http://www.hematology.org

The National Heart, Lung, and Blood Institute
http://www.nhlbi.nih.gov

 

CANADIAN RESOURCES

HealthLink BC
http://www.healthlinkbc.ca

Capital Health Nova Scotia
http://www.cdha.nshealth.ca

 

References


Berk PD, Goldberg JD, et al. Therapeutic recommendations in polycythemia vera based on Polycythemia Vera Study Group protocols. Semin Hematol. 1986;23:132-143.


Gilbert HS. Current management in polycythemia vera. Semin Hematol. 2001;38(1 Suppl 2):25-28.


Golden C. Polycythemia vera: a review. Clin J Oncol Nurs. 2003;7:553-556.


Kessler CM. Propensity for hemorrhage and thrombosis in chronic myeloproliferative disorders. Semin Hematol. 2004;41(2 Suppl 3):10-14.


Munson BL. Myths & facts…about polycythemia vera. Nursing. 2005;35:28.


Passamonti F, Rumi E, et al. Life expectancy and prognostic factors for survival in patients with polycythemia vera and essential thrombocythemia. Am J Med. 2004;117:755-761.


Polycythemia vera. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/about/about-us. Updated June 11, 2013. Accessed August 23, 2013.


Ruggeri M, Tosetto A, et al. The rate of progression to polycythemia vera or essential thrombocythemia in patients with erythrocytosis or thrombocytosis. Ann Intern Med. 2003;139:470-475.


Solberg LA Jr. Therapeutic options for essential thrombocythemia and polycythemia vera. Semin Oncol. 2002;29(3 Suppl 10):10-15.


Spivak JL. The optimal management of polycythaemia vera. Br J Haematol. 2002;116:243-254.


Stuart BJ, Viera AJ. Polycythemia vera. Am Fam Physician. 2004;69:2139-2144.


Tefferi A. A contemporary approach to the diagnosis and management of polycythemia vera. Curr Hematol Rep. 2003;2:237-241.


Tefferi A. Polycythemia vera: a comprehensive review and clinical recommendations. Mayo Clin Proc. 2003;78:174-194.

 

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