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Polycythemia Vera

A rare blood cancer where the bone marrow produces too many red blood cells, increasing blood thickness and clot risk.

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Overview

Polycythemia vera (PV) is a rare, chronic blood cancer in which the bone marrow produces too many red blood cells, and sometimes too many white blood cells and platelets. The excess cells make the blood thicker and more viscous, increasing the risk of blood clots, stroke, and heart attack. PV is usually diagnosed in older adults and develops slowly. With treatment, many people live for decades, but it requires ongoing monitoring and management.

Symptoms

Common Symptoms

  • Often no symptoms early on
  • Headaches
  • Dizziness or vertigo
  • Fatigue
  • Itching, especially after warm baths or showers (aquagenic pruritus)
  • Reddened face or flushed appearance
  • Burning pain in hands or feet (erythromelalgia)
  • Shortness of breath
  • Blurred or double vision
  • Unusual bleeding or bruising

Diagnosis

Diagnosis typically involves clinical evaluation, medical history, blood tests, and appropriate imaging studies. A healthcare provider will assess symptoms, order relevant laboratory work, and may refer to a specialist for confirmation.

Treatments

Treatment depends on the underlying cause and severity. Options may include medication, lifestyle modifications (diet, exercise, stress management), and ongoing monitoring. Always work with a qualified healthcare provider to develop an appropriate treatment plan.

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