endstream endobj 21 0 obj <> endobj 22 0 obj <>stream AAIRAQMRAf/EAaIAAAAHAQEBAQEAAAAAAAAAAAQFAwIGAQAHCAkKCwEAAgIDAQEBAQEAAAAAAAAA dirsVdirsVTTyx5n1vyxrVvrOi3LWt9bGquv2WX9pHXoyN3U4q+2fyi/N3R/zD0dpI1FnrVmFGo6 zAYqmuKuxV2KuxV2KuxV2KuxV2KuxV2KuxV2KuxV2KuxV2KuxVhvn382/I/keA/pm+D31Kx6ZbUl Polycythemia is defined as an increase in red cell count, hemoglobin, and PCV. 5yD6JpHGBXl+KuxV2KuxV2KvoD/nFj8sG1LVm87anF/oGmsY9JRhtJdUo0o9oQdv8o+K4VfVmKux cW0729xE8M8TFZYpFKurDqGU0IIwKp4q7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FVS3t7i5nS3t4 MH/OHmiPbs3l7XbmC5G6R6gscyMfAvCsJX58T8sVfP8A54/LzzX5J1P6hr9mYC9Tb3SfHbzKO8Ug 0tfyh1GBjQ31xa26DxKzLPT7oTir4qwK7FXYqmXli7Nn5k0m8HW2vLeYdP2JVbvt2xVLcVdirsVd UtHhMxZi8CRygvElQzRTkqKyY3PCNUQnk6OzNhdUZHTD0uIIJoMJChgZhJRFRqS0VtNVKBry4/PE /9j/4AAQSkZJRgABAgEASABIAAD/7QAsUGhvdG9zaG9wIDMuMAA4QklNA+0AAAAAABAASAAAAAEA y3xV9n/lt+V3lryBpH1LSo/VvJgDfalKB607Dxp9lB+yg2HuaklWYYq7FXYq7FXYq7FXYq7FXYq7 3Bqq7bcm6ue59qYFYjirsVcASaDcnoMVfRv5W/8AOK/16zg1fzxLLbrMBJDosB4ScCKj6xJuVJ/k h/N7R/zD0d5I0FnrdmFGo6cWrSuwliJ3aNj9KnY9iSrP8VdirsVdirsVdirsVYh+aH5k6R5B8sya uuid:42C997108891DE119524D1427DFDCD55 UHhseoShdvZTir4JuLie5uJbi4dpZ5naSWVjVmdjVmJ7kk4FU8VdirsVdirsVdirsVdirsVdirsV “US Navy 060505-N-2832L-050 Hospital Corpsman Megan Beach, checks the flow of blood through a cell saver, during training for an antilogous blood transfusion” By U.S. Navy photo by Journalist Seaman Apprentice Mike Leporati – (Public Domain) via Commons Wikimedia, Filed Under: Diseases Tagged With: absolute erythrocytosis, Compare Polycythemia and Polycythemia Vera, Polycythemia, Polycythemia and Polycythemia Vera Differences, Polycythemia and Polycythemia Vera Similarities, Polycythemia Clinical Features, Polycythemia Definition, Polycythemia Diagnosis, Polycythemia Management, Polycythemia Vera, Polycythemia Vera Clinical Features, Polycythemia Vera Definition, Polycythemia Vera Diagnosis, Polycythemia Vera Management, Polycythemia vs Polycythemia Vera, primary polycythemia, relative erythrocytosis, Secondary Polycythemia. irsVdiqB1rXNI0PTZtT1e7isrC3HKW4mbio8APEnoANz2xV8w/mf/wA5T6tqTS6Z5JVtNsN1fVpA jSzzOscUSirM7GiqB3JJxV97flJ5Cg8j+R7HRqD684+s6nIKHndSgc9x1CUCL7KMKsyxV2KuxV8p q2lPjyEbp/xF8VeT/kJ5aXzB+amiW8qc7azkN/cDtxtR6iV8QZQgPzwK+68KuxV2KuxV2KvH/wDn 256 Heavy smokers are more likely to be affected by secondary polycythemia since the increased levels of carboxylated hemoglobin stimulate the natural pathways of erythropoietin production. xMGiljYq6sOhVhQgjFXvn5Yf85T6tprRaZ52VtSsNlTVowPrUY8ZVFBMPfZv9Y4VfT2i65pGuabD l7/5LXTf+2zB/wBQtzir5DwK7FXYqmvlfyxrPmfXLXRdGtzcX103FFFeKr+1I7b8UUbscVfdH5X/ • Symptoms of polycythemia vera can be vague and quite general. New York-Presbyterian Hospital: "Polycythemia Vera." irsVdirsVdirsVdirsVfLH/OYv8AykPlz/mEn/5OjFXuP5J/+So8r/8AMCn6zirw7/nMX/lIfLn/ of8AU1Rf9Ibf9VsVd/0JtqH/AFNUX/SG3/VbFXf9Cbah/wBTVF/0ht/1WxV3/Qm2of8AU1Rf9Ibf q7FWG/m35Cg87+R77Rio+vIPrOmSHbhdRA8N+wepRvY4q+Cbi3ntriW3uEaKeF2jliYUZXU0ZSOx uuid:3EC997108891DE119524D1427DFDCD55 YraSKRSkkbxTMrKwoVYGOhBGKvjbVtRi03z/AH2oeUZTDBa6pNLoUsAJpEs7G34KwJI4cdmG/fAr RCLWtILqsqf8lBLhV5j/AM5ba615+YVnpStWHSrFOS+E1wxkc/TGI8CvEMVdirsVdirsVfQv/OHX sVdir23/AJxW88to3naTy7cvSw19OMQPRbuEFoz7c05J7njir6/wqlXmvzBbeXfLWp65c7w6dbSX TeVtO81aVZG71mnC6nvXE0ltdJtIsa0RE33VgvLiRvhV7ZirsVdirsVdirsVdirsVfBH506+dd/N vO3QUG/FK/acig9zQFV8M+a/M2p+Z/MV/r2pvzvL+UyOB9lV+yka/wCSiAKPYYFSnFU08seWNa8z Primary erythrocytosis (polycythemia vera) is a disease in which the blood-producing cells in the bone marrow develop and reproduce abnormally. Learn about these disorders so you can navigate your treatment options and actively participate in your care. HmS8NLPSby5PhDbyv2r+yp7YqyXS/wAkvzY1OhtvLF6gbp9ZRbTvT/j4MWKs40L/AJxJ/MK8ZW1W AFNUX/SG3/VbFXf9Cbah/wBTVF/0ht/1WxVNPK3/ADiffaH5n0jWm8yRTrpd7b3rQC0ZS4t5Vl4B 2KuxV2KuxV2Ksu/Lr8rvNXn3U/qujwcLSJgL3UpQRbwA7/E37T06Iu5+W+Kvs/8ALb8r/LPkHSPq Polycythemia is defined as an increase in red cell count, hemoglobin, and PCV. t+y1OqHcfLfArEsVdirsVdirsVdirsVdirsVdirsVdirsVdirsVdirsVdirLfy7/ACw80+fNUFpo True polycythemia can be either primary or secondary. pD5j/wCYSD/k6cKvcfzs/wDJUeaP+YF/1jFXh3/OHX/KQ+Y/+YSD/k6cVfU+KuxV2KuxV2KuxV2K 8x/8wkH/ACdOFXuP52f+So80f8wL/rGKvDv+cOv+Uh8x/wDMJB/ydOKvqfFXYq7FXYq7FXYq7FXY Pqn5JfmxplTc+WL1wvX6si3fen/HuZcVY1d+WPMlmaXmk3lsfCa3lTtX9pR2xVLcVdiqZWnljzJe XKqNre7fdgadElNWX3qPDArxHFXYq7FXYq7FXYq7FXYq7FXt/wDziToTXn5hXmqstYdKsX4t4TXD Polycythemia vera, which is the most prominent cause of primary polycythemia, is due to a mutation in the JAK2 gene. • In secondary polycythemia, most of the symptoms are related to the underlying condition responsible for polycythemia. +DlJWWl5iZmpucnZ6fkqOkpaanqKmqq6ytrq+v/aAAwDAQACEQMRAD8A9U4q7FXYq7FXYq7FXYq7 Primary erythrocytosis (polycythemia vera) is a myeloproliferative disease resulting from the autonomous clonal expansion of hematopoietic progenitor cells that has been reported in dogs, cats, horses, and ferrets. /9j/4AAQSkZJRgABAgEASABIAAD/7QAsUGhvdG9zaG9wIDMuMAA4QklNA+0AAAAAABAASAAAAAEA fmfWrjWdauWur65NWdvsqv7KIvRUXsowKleKuxV2KuxV2KuxV2Kvq3/nEzyLb2nlu683XdupvdSl JPEG 7FXYq7FXYq7FXYq7FXYq7FURp1hdajqFrp9mhlu7yVLe3jHVpJWCIv0scVfoh5V8v2vl3y3pmh2u 2A4h717mm/8Ax9qLjv8A8ZcVYRirsVdirsVdir6F/wCcOv8AlIfMf/MJB/ydOFXuP52f+So80f8A n5n6Bo+oIJbKaZ5Z4m3WRbaF7j02H8r+lxPtir37/nI/85PM3k6+0/y55adbG5ubYXlxf+mkjCNp Xkn/ADln5m/R3kG00SN+M2t3QDrWlYLWkr/8lDFir5CwK7FXYq7FXYq7FXYq7FWR/l95H1Xzt5pt +DlJWWl5iZmpucnZ6fkqOkpaanqKmqq6ytrq+v/aAAwDAQACEQMRAD8A9U4q7FXYq7FXYq7FXYq7 Moreover, polycythemia is one cause of erythrocytosis where there are more red blood cells produced in both cases. 2009-08-25T20:34:35+05:30 YWO5MSsfTY/NKHAqSYq7FU08seZ9a8sa3ba1o1wba+tW5Iw+yy/tI6/tIw2YYq+6fyv/ADJ0jz95 h���n�0���#��Jcv�EU�a�()���٠565F�}��H}�ؠҤ9D��>�3�����A�F��d����Ͼ4��^�Þ):�gaC��ȹI�Ʌ,i�$U[N��5c]��G�u���VJsX����d �����|�M%�3��=o �%:P�P�w����eO�7���u��sW�&A`�Ǿ����!M�8�|׋����()�\�KSb���:��["�7�Y����M��j���t���a� �/v��T$r��I�]R �����-]^�/%6����G���-E�C-d�v��2�c�u��u�F���Z)�x!DU�Z�_} �����m���x�o�&�� d�L� �_Af�0Bsi���ȿ ��5 At least one minor criterion with both the major criteria and one major criterion with any one of the minor criteria should be present to make a diagnosis of PV. tO9f+PcRYqxq78z+ZLw1vNWvLk+M1xK/an7THtiqW4q7FUytPM/mSzNbPVry2PjDcSp2p+yw7Yqy NvvU7HsSVegYq7FXYq7FXYq7FXYqw/8ANH8ydI8geWpNVvaTXktYtNsQaNPNStPZF6u3Ye5AKr4X 9Iu4r2wuByiuIW5KfEHwI6EHcd8VR2KuxV2KuxV2KuxV2KuxV2KuxV2KsP8AzJ/NHy15A0j67qsn ZY1nueaQWNozcfWnkOy18FUMx9hirwb/AKHF8w/9S5af8j5f6Yq+jfJmqa3q3lfTtT1qzTT9RvYh naPy7bPWw0BOMgHRruYBpD/sF4p7HlgV4nirsVdiqIh07UJoxJDayyxno6RswNPcDFV/6H1b/liu DHwr9pD+0h2PsaEKvjD8xPyw80+Q9UNprEHK0kYiz1KIEwTqP5W/ZanVDuPlvgViWKuxV2KuxV2K Secondary polycythemia is induced by physiologic changes that increase the body’s demand for oxy- gen, such as certain types of heart disease, living at high altitudes, lung disease, severe obesity, and defective oxygen transport. Lightheadedness 5. mzdwevF5YvFTjzpKEhen+pKyPX2pXFUh8w+SPN/lwj9OaPd6ehPFZZ4XWNj4LJTg30HFUkxV2Ksu FXYq7FUq8wea/LXl22+s65qdtp0JrwNxIqF6dkUnk59lBxV5L5m/5yz8g6dzj0S0utbmWvFwPqsB Hp36O1u91C+seayG3kjPEuteJPFRWlcVYx+h9W/5Yrj/AJFP/TFXfofVv+WK4/5FP/TFXfofVv8A MNjr2lvwvbCUSR1+yw6OjU/ZdSVb2OKvuf8ALf8ANHyz590hLzS51jv0UG+0t2HrwN0NRtySv2XA DBAMDAwMDAwQDA4PEA8ODBMTFBQTExwbGxscHx8fHx8fHx8fHwEHBwcNDA0YEBAYGhURFRofHx8f ftC3jVC3u7AcnPuxxVNMVdirsVdirsVdirsVdirsVdir/9k= 3lXurdiOxHQg9DthVHYq7FXYq7FXyl/zlN+aB1LVl8k6ZL/oGmsJNWdTtJdfsxHxWEdf8o/5OKvA i4FYvirsVdirsVe3/wDOJOutZ/mFeaUzUh1WxfivjNbsJEP0RmTFWD/nbqn6T/NjzPcg8gl69tXf 85gf8oLo/wD21F/6h5cVfJeBXYq7FXYq7FXYq7FXYq7FVS3uJ7a4iuLd2inhdZIpVNGV1NVYHsQR Polycythemia vera (pol-e-sy-THEE-me-uh VEER-uh) is a slow-growing blood cancer in which your bone marrow makes too many red blood cells. W3MGpyRldJsJBSSBJAQ80oO6yOp4qv7Kk13OxV9BYq7FXYq7FXYq7FXYq+UP+cvtfFz5s0bQ0aq6 �3����c�5�R>r���=%�XH�e*L\�G�N?唗�]&��ߦ�G�̒�u��~z?��9�dF������}+�L�b�:��c�4(��Z9^���z-��n��$�!�'��R��k�*��5��[���7��5���@�Z�d��+)�ʔ����; ~�����`�}h��?��w�'k�̐2Cf��!�d�#�Pvnn��K� �B�2 /wD3Mf8As1xV3/Q5n/fn/wDcx/7NcVd/0OZ/35//AHMf+zXFXf8AQ5n/AH5//cx/7NcVd/0OZ/35 TeZAJD9MqOcCvMsVdirsVdirsVdir23/AJxW8jNrPnaTzFcpWw0BOURPRruYFYx78E5P7Hjir6/w What is Polycythemia Vera The erythropoietin levels are normal or raised in secondary polycythemia. PLZRszCNX+KNSWoeXChYdjtiqdYq7FUr81a1HoflnVdZkIC6daTXO/cxRlgPpIpir86ZJJJZHlkY QHPYdA9Q6+zDCrMsVdir4/8A+cqfPB1nztH5dtnrYaAnGQDo13MA0h/2C8U9jywK8TxV2KuxV2Kv oX/nDr/lIfMf/MJB/wAnThV7j+dn/kqPNH/MC/6xirw7/nDr/lIfMf8AzCQf8nTir6nxV2KuxV2K Itching (pruritus) 8. cFnKtjCOwFqgjcD/AJ6hzgV57irsVdirsVdirsVfXv8AziZ5Z/R3kG71uROM2t3RKNSlYLWsSf8A polycythemia [pol″e-si-the´me-ah] an increase in the total red blood cell mass of the blood; called also erythrocythemia, hypercythemia, and hypererythrocythemia. /mBf9YxV4d/zh1/ykPmP/mEg/wCTpxVPfNP/ADiffa55n1fWl8yRQLql7cXqwG0ZiguJWl4FvVFe 7S3QRwQRKEREUUCqo2AGFVbFXYq7FXYql3mPy/pfmLQ7zRdVhE9hfRmKZD133DKezKwDKexFcVfA AB6KLfv/AMYsVYRirsVdir7N/wCcV9OjtfyohuFADX97c3DnxKkQD8IcKvX8VdirsVdiqndW0F1b j2hI5y6osoHekVvKp/5OjFUH/wA4dRxjy55ikH9415Crb/srESu3+yOKvoTFXYq7FXYq7FXy/wD8 dirsVdirsVdirsVef/m9+b2kfl5pCO6C81u8B/R2nVpWmxllI+zGv3k7DuQq+J/M/mfW/M+tXGs6 AJbaR5B8sx6VZ0mvJKSalfFaNPNTc+yL0Rew9yThVl+KuxV2KuxV2KuxV2KvP/ze/KHSPzD0hEdx 2KvHvLuvaj5f12x1vTX9O90+ZZ4WNaEqd1alKqw+Fh3BxV+gfk/zRp3mny1p+v6ea21/EJAtalHH UaUrTcRRA/ZjX7ydz2AKvQMVdirsVdirsVdirsVdirsVYf8AmT+V3lrz/pH1LVY/SvIQTY6lEB60 q3kwIsdNiI9adh4V+yg/ac7D3NAVXxj+Yv5oeafPmqG71ifhaRsTZ6bESLeEdPhU/aanVzufltgV V2KuxVZcXEFvBJcXEiQwRKXllkYKiqoqWZjQADFXyj/zkF+fUPmKOXyn5WmLaIGH6R1Faj60yGoi Cv0S8kf8oXoH/bNtP+TCYVTrFXYq7FXyd/zl7r1nd+btI0eBw82l2ryXVN+L3TAqh9+EYb5MMCvF Drmi6brmkXekanCLiwvYmhuIm7q3cHsR1BHQ74q+DvzP/LvVPIfmmfR7sNJaNWXTbwiizwE/C3hy m3wFWgmpSvujdHXuPcAhV8L+Z/LGteWNbudF1m3NtfWrcXU/ZZf2XRv2kYbqcCpXiqa+VfMuqeWP y1pmuW20Oo20dwErXgXUFkPujVU/LCryX/nLPzN+jvINpokb8ZtbugHWtKwWtJX/AOShixV8hYFd FXYq7FXYq7FXYq7FXYq7FXYq7FUHrGj6brOl3OlanbrdWF5GYriBxUMp/UR1BHQ74q+IPzi/KTU/ W7TQdKjCwWy/vZiAHmmIHOaSnVnI+joNgMKp7irsVSbzf5Q0LzboVxomt24ns5xVWG0kcg+zLE37 PH9KAz9a/a4lxv8A88qe2Kpz5A/KW40jXZPN3mzVG8w+cZ0Ma3jDjBbRsCClsm1NiRWg2JAAqaqv 30% of the patients with PV can have Myelofibrosis and 5% of the patients can get myeloblastic leukemia. Ut7ee5uIre3RpZ5nWOKJRVmdjRVA7kk4q+9vyk8hQeSPI9jowUfXnH1nU5BvzupQOe/cJQIvsMKs /wAwL/rGKvDv+cOv+Uh8x/8AMJB/ydOKvqfFXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq+WP+cxf Most of the time, it is used in place of erythrocythemia, or pure red blood cell increase, such as in secondary polycythemia. JPEG XYq7FXYqqW9vcXM6W9vE808rBYoo1LOzHoFUVJJxV73+V/8Azizq2pGLU/OzNpthsyaTGf8ASpB4 HVIE29R/poO57Yq+ufIP5UeSvI9sE0WxBvSvGbU56SXUm29ZKfCD/KgC+2FWX4q7FUk83eSvLPm7 VfevkLz5oPnby9BrWkSgqwC3VsxHq281KtFIPEdj0I3GFWR4q7FUHq+s6Vo2ny6jqt3FZWMArLcT 84df8pD5j/5hIP8Ak6cVfU+KuxV2KuxV2KuxV2KuxV2KuxV2KuxV2KuxV8sf85i/8pD5c/5hJ/8A coWuZFPdIKqQKd3K+1Rir2ux/wCcU/ysgsTb3Avry4Yb3klxwcHxVY1SP71OFXkn5tf8406l5T06 uuid:3CC997108891DE119524D1427DFDCD55 Also known as polycythemia vera, polycythemia rubra vera, erythremia, Vaquez disease, and Osler-Vaquez disease, it is a stem cell disorder characterized as a panhyperplastic, malignant, and neoplastic marrow disorder. k�aE�9r���U�gt~^0>��x6Z��Rt�zw����v��1-{�&��40H�A=��l&Q��3�h�c.xж��x��Ps��r���V���J�\�`���Js����9h/���6��RL�f�UM��d��)�M�M@����1p@Bp`p�n�������tcO���99=��x2�|i*x�f���"u���'o=�+�g�Vo����[��V)��ȓ�|��%�^�_�]vv���u)���͢��`���"��7����?�����ׂ�S6�>y��{��~bf��� s��N�yT|�m�x��U��LU�-�'����3�9��� � �yp�u��,�ﭨ���w�ñ�ߍN� ���WR��K,�wd���ъ�~ꅚÂ�G}㱮�n�rx����o�$�չ����,��F�Β�G������Zអ)�!ݠ��yz�7�KP�(��~������_���'��4lH�p�ƒ���׃�ꌁ��u��� ��� JplzSK6SgqfgqeYH8yFh74VZlirsVdirsVdirsVdirsVdirsVdirsVdirsVQOta5pGh6bNqer3cV f9UsVd/0MH+cX/UyS/8AIm2/6pYq7/oYP84v+pkl/wCRNt/1SxV3/Qwf5xf9TJL/AMibb/qlirv+ xV8KAM7UFWZjsOpJOBX3X+R35f8A+CvIVnZXEfDVr3/TNUr9oTSAUiP/ABiQBfnU98KvQMVeTf8A IR7bt/qnCr6e0XQ9I0PTYdM0i0isrC3HGK3hXio8SfEnqSdz3xVHYq7FXYq7FXYq7FXYq7FXYq7F WR+U2iXbBErUiC6rKn3yCXCrzH/nLbXWvPzCs9KVqw6VYpyXwmuGMjn6YxHgV4hirsVdirsVdirs Hemoglobin level more than 185 g/l in men and 165 g/l in women, Bone marrow biopsy showing hypercellularity for age with panmyelosis, Endogenous erythroid formation colony in vitro. 0MMCqGKuxV2KuxV2KuxV2KuxV2Kvor8lP+clHsEg8u+d52ks14x2WttVniHQJc9Sy+D9R+1Ubgq+ CvNcVdirsVdirsVZb+WH5iap5D80waxaFpLRqRalZg0WeAn4l8OS9UPY+1cVfeOh61puuaRaavpk NrzNNBTgt36JoajnAiwv/wAOhrgVguKuxV2Ksu/K/wDMXVPIfmmDWLQtJaPSLUrMHaa3Jqy77cl6 liuP+RT/ANMVd+h9W/5Yrj/kU/8ATFVk2nahDGZJrWWKMdXeNlAr7kYqh8VdirsVe2/84reeW0bz ySqlKVigtYW/4OOJG/HFWDanq+q6rdNd6peT310/2p7mR5ZD/snJOKvof/nFH8s1keXz5qUVVjL2 Vllv+c35V3Cc4/NOnqKA0kmWI7+0nE4qq/8AK3Pyv/6mrS/+kqL/AJqxVCyfnb+U8YYt5nsiFrXi Secondary polycythemia, also called secondary erythrocytosis, is the overproduction of red blood cells. tlcSIVutakfUJa9eD0SGnsYo1b6cKvVcVdiqX+Y/+Ue1T/mEn/5NNir848CuxV2KuxV2KuxV2Kux wuLC9iWa3lXurdiOxHQg9DthVHYq7FXYq7FXyl/zlN+aB1LVl8k6ZL/oGmsJNWdTtJdfsxHxWEdf Thrombosis, heart failure, and hemorrhages are the main complications of polycythemia due to different causes apart from polycythemia vera. obHwFMHR4SNCFVJicvEzJDRDghaSUyWiY7LCB3PSNeJEgxdUkwgJChgZJjZFGidkdFU38qOzwygp XYq7FXYq7FXy5/zmPcwtrPlm1DAzxW9zK6dwkjxqh+kxt92KvnbArsVdirsVdir6A/5xY/LBtS1Z ADCT/wDJ0Yq+esCuxV2KuxV2Kvb/APnEnXWs/wAwrzSmakOq2L8V8ZrdhIh+iMyYqwf87dU/Sf5s tO9f+PcRYqxq78z+ZLw1vNWvLk+M1xK/an7THtiqW4q7FUytPM/mSzNbPVry2PjDcSp2p+yw7Yqy uxV2KuxV2KuxV2KuxV8sf85i/wDKQ+XP+YSf/k6MVe4/kn/5Kjyv/wAwKfrOKvDv+cxf+Uh8uf8A Burning sensations of the hands or feet v8jhVA6z/wA5defLpDHpenWGnBgf3rLJcSDw4lmVPvQ4FeTeaPO3mzzVdC58wapPqEimsaStSJCe 717mm/8Ax9qLjv8A8ZcVYRirsVdirsVdirsVdiqM0bV77RtXs9WsH9O9sJo7i3fqA8TBlqO423GK AQBIAAAAAQAB/+4ADkFkb2JlAGTAAAAAAf/bAIQABgQEBAUEBgUFBgkGBQYJCwgGBggLDAoKCwoK It has been reported in cats. Abstract. VfYf7GmBXjuKva/yL/IC582vD5h8xo0HlhWJgt6skt4VNPhIoVir1atT0XxCr67srK0sbSGzs4Ut 85gf8oLo3/bUX/qHlxV8l4Ffol5I/wCUL0D/ALZtp/yYTCqdYq7FXYq+Ov8AnKjyhZ6J5+h1SyiE 4. 0+PzhJSktMTU5PRldYWVpbXF1eX1RlZmdoaWprbG1ub2R1dnd4eXp7fH1+f3OEhYaHiImKi4yNjo Summary. The typical presentation is an elderly patient of more than 60 years of age complaining of tiredness, depression, vertigo, and tinnitus. Kpl5ntDZ+ZNWsz1try4hPT9iVl7bdsVS3FXYq7FWW/lV52fyX560zXTU2kb+jqCCp5W03wS7DqVB /QzX5O/9XeX/AKRLn/qniq2T/nJz8n1QsuqTuR0RbS4qf+CQD8cVYF51/wCcu7Y2slt5O0uUXLgq LrUpQGuZj35PTZfBVoo8MKssxVTuba3uYJLe5iSe3lUrLDIodGU9QytUEYq+XPz/APyAs9Ds5vNv vo+ps2nrUjT7kCe3FTU8VbdN/wCQjFXpVp/zmH5sSEC70Gwmm7vE80Sn/YsZf14qlGv/APOV/wCZ Ruddy complexion 10. 2009-08-25T20:35:13+05:30 But for some people, the disease still gets worse and turns into another blood cancer, despite treatment. 2009-08-25T20:35:13+05:30 endstream endobj 25 0 obj <> endobj 26 0 obj <>stream R+YrZKWGvpylI6LdwgLIPbmnF/c8sCvEsVdirsVdirsVdir74/Jry4vl78svL+nlOEzWqXVyp+16 uuid:3FC997108891DE119524D1427DFDCD55 endstream endobj 23 0 obj <> endobj 24 0 obj <>stream Cov/AJw/8xRW/mDXPL8rUbULeK6tgTsWtWZXUe5WavyXFX1RhV2KuxV2KoXVdUsNK0251LUJlt7G 2Y4q+Cbi3ntriW3uEaKeF2jliYUZXU0ZSOxBGBVPFXYq7FXYq7FXYq7FXYq7FX2v/wA40eV/0H+V hg/zi/6mSX/kTbf9UsVd/wBDB/nF/wBTJL/yJtv+qWKqN1+fH5u3UJil8zXKqepiWKFvoeJEYffi Polycythemia (also known as polycythaemia or polyglobulia) is a disease state in which the hematocrit (the volume percentage of red blood cells in the blood) and/or hemoglobin concentration are elevated in peripheral blood.. Elevated Hgb levels were noted despite absence of an established reason for secondary polycythemia. S7e5OBWI4q7FXYq7FWXflf8Al1qfnzzVBo9oGjtEpLqV4BUQW4NGbfbk3RB3PtXFX3jomi6bomkW W2nQmnMW8aoXp3dgOTn3YnFU1xV2KuxV2KuxV2KuxV2KuxV2Kv8A/9k= hބYwp#�y�nUL˶ ��.��U��VqdˊeY�$�Ng^?�����l_�G`;zo�� Secondary polycythemia is defined as an absolute increase in red blood cell mass that is caused by enhanced stimulation of red blood cell production. 8sdKhP2l5tcTD5JGBGf+RmKvTvLP/OJnkHTuEmt3d1rcy05IT9VgNP8AIiJk/wCSuFXrXl/yp5a8 oiaGWY7RRL7u5A/HFXxT+XfkbW/zP89SQu7LHPK97reoAbRpI5ZyK7c3Y0QePsDgV9zaHoumaHpF MJP/AMnRir56wK7FXYq7FXYq7FUy8z2hs/MmrWZ6215cQnp+xKy9tu2KpbirsVdirsVdir6F/wCc O9KlX0lirsVQeq6PperWv1TU7WO7tw6yLHKoYLIh5I691ZTuGG4xVGYql/mP/lHtU/5hJ/8Ak02K WLQtJaPSLUrMGgntyasu+3JeqHsfauKvvHRNa03W9ItNX0yYXFhfRLNbyjurCu47EdCOx2wqjcVd 5. 4Z4mDRSxsVdWHQqwoQRir3z8sP8AnKfVtNaLTPOytqVhsqatGB9ajHjKooJh77N/rHCr6e0XXNI1 AQACAwQFBgcICQoLEAACAQMDAgQCBgcDBAIGAnMBAgMRBAAFIRIxQVEGE2EicYEUMpGhBxWxQiPB KuxV2KuxV7P/AM43/m2nlPXG8vaxNw0DV5BwlY/DbXRHFXPgkmyv4bHxxV9i9cKuxVhn5nflV5b/ MeETdJlHhs3+tirwS4t7i2ne3uInhniYrLFIpV1YdQymhBGBVPFXYq7FXYq7FXYq7FXYq7FXYq7F Polycythemia is defined as an increase in red cell count, hemoglobin, and PCV. pWmzx+pYQObzUFIqDBb/ABFW9pH4of8AWxV95dMKrLi4gt4JLi4kWKCFGkllchVVFFWZiegAGKvi /uZby6k3kuJ3aWRv9Z3JY4qoYq7FXYq7FXYq7FXYq7FXYq7FURYajqGnXSXmn3UtndxGsdxbu0Ui tG0s8zmipGgLMzE9AAK4q+AvzQ86zec/O+p683IW00np2MbV+C2i+CIU7Egcm/yicCsVxV2KuxV2 Background: Polycythemia is a condition wherein there is an increased hemoglobin or hematocrit measured on complete blood count (CBC) tests.The increased levels may be relative or absolute.. mzNpV5Y6rCPsrza3mPzSQGMf8jMCsH1T8kvzY0ypufLF64Xr9WRbvvT/AI9zLirGrvyx5kszS80m ckfWJB/slCD2WvfAqn/zjj+X/wDirz7Fe3UfPSdC43l1UfC8wP8Ao8R+bryPspGKvtG6tba7tZrW sPaNTxSv+W1R/Lir6O8hflJ5H8jwD9DWIe+pSTU7mkt09RQ/HQcAf5UCj2wqzLFXYq7FXYq7FXYq irsVdir5S/5ym/NA6lqy+SdMl/0DTWEmrOp2kuv2Yj4rCOv+Uf8AJxV4BgV2KuxV2KuxV2KuxV2K jU/Sx2HchV8TeZ/M+t+Z9auNZ1q5a6vrk1Z2+yq/soi9FReyjAqV4q7FXYq7FXYq7FXYq7FXYq7F AQBIAAAAAQAB/+4ADkFkb2JlAGTAAAAAAf/bAIQABgQEBAUEBgUFBgkGBQYJCwgGBggLDAoKCwoK There are two main forms of polycythemia as absolute erythrocytosis and relative erythrocytosis; in absolute erythrocytosis, there is a true increase in the red cell volume and in relative erythrocytosis, there is a decrease in the plasma volume with a normal red cell volume. lYW45S3EzcVHgB4k9ABue2KvmH8z/wDnKfVtSaXTPJKtpthur6tIB9akHjEpqIR77t/qnFXgdxcX h���n�0���#��Jc�$��h��9le#�W�q6h�M����C��PT�4�J�z�'{f��g�&:o����V�2��?di�����u����C)6�O����a�ΓE��6/ra��Tmc�R���;3FЇ�}�. UtHhMxZi8CRygvElQzRTkqKyY3PCNUQnk6OzNhdUZHTD0uIIJoMJChgZhJRFRqS0VtNVKBry4/PE 8OnW0duG/mKKAzn3dqscKppir4//AOcqPIzaN52j8xW0dLDX05SEdFu4QFkHtzXi/ueWBXieKuxV iqI06/utO1C11CzcxXdnKlxbyDqskTB0b6GGKv0Q8q+YLXzF5b0zXLXaHUbaO4C/yl1BZD7o1VOF y9130xzudBvCTpmoMBuBuYpKbCRP+GG47gBXn2KuxV2KuxV2KuxV2KuxV9e/84meWf0d5Bu9bkTj /Lr80PNPkPVBd6PPztJGBvNNlJNvMOnxKPstTo43Hy2xV9nflt+aPlrz/pH13SpPSvIQBfabKR60 BPwt4cl6OOx9qYFYlirsVdirsVRuh6pNpGtafqsIrNp9zDdRjp8UMgkG/wA1xV+jVpdQXdpDdwNz cWrxrsJYid2jY/SDsexJVn+KuxV2KuxV2KuxV2KsP/NH8ydI8geWpNVvaTXktYtNsQaNPNStPZF6 yg/6mWD/AJFz/wDVPFXf8r9/KD/qZYP+Rc//AFTxV3/K/fyg/wCplg/5Fz/9U8VWzfnv+Tc0Twze To determine parameters of distinctive value in polycythemia rubra vera (PV) versus secondary polycythemias (SP), a clinicopathological study was performed on 199 patients. 11++cN7qX4/RhVmmKuxV2KuxV2KuxV2KuxV2KuxV2KuxV2KuxV8Qf85HaCukfm1qxjXjDqIiv4wB ZhirsVdirsVdirsVdirz/wDN78odI/MPSER3FnrdmD+jtRpWldzFKB9qNvvB3HcFV8T+Z/LGt+WN Ji9SJ/oeNlYfQcVeN/ml/wA4r/UbOfV/I8stwsIMk2iznnJwAqfq8mxYj+Rtz2JO2KvnIgg0OxHU DDGAqIiiiqqjYADoMKqmKuxV2KuxV2KuxV43/wA5Lfln/ifyn+ntPh563oStJRRV5rT7Use3Up9t Ov8AlIfMf/MJB/ydOFXuP52f+So80f8AMC/6xirw7/nDr/lIfMf/ADCQf8nTir6nxV2KuxV2KuxV lKEx6bGeWqaWtSsCk09aGu/Cv2l/Z6j4eir56wK7FU08seZ9b8sa1b6zoty1rfWxqrr9ll/aR16M sd5rlgfTQDrQHdj2WuKvgO7u7i8u5ru5cy3NxI0s8p6s7kszGniTgVSxV2KuxV2KvoD/AJxY/M9t 1. o37SMN1OBUrxV2KuxV2Kvu38htfOt/lR5fuHblNawGxlFakG0YwrX5oin6cKs/xV2KuxV2KuxV2K NlGBUrxV2KuxV2KuxV2KuxV2KuxV2KuxV2KuxV2Kvrv/AJxN8q29h5EufMDIDeazcuqy03FvbExq JAOjXcwDSn34LxT2PLArxPFXYq7FXYq7FXYq7FX0f/zhtdKt/wCarT9qWKylHjSJplP/ACdwq+nc 2. v/Im2/6pYq7/AKGD/OL/AKmSX/kTbf8AVLFXf9DB/nF/1Mkv/Im2/wCqWKu/6GD/ADi/6mSX/kTb qxrzPdm88yateHrc3lxMen7crN2274qluKuxV2KvuH/nG7/yS/l3/o8/6jp8KvS8VdirsVdirsVf UtHhMxZi8CRygvElQzRTkqKyY3PCNUQnk6OzNhdUZHTD0uIIJoMJChgZhJRFRqS0VtNVKBry4/PE reUmvJKx6bYhqNPNTYeyL1duw9yBir4W8z+Z9a8z63c61rNwbm+um5Ox+yq/soi/soo2UYFSvFXY V2KuxVA65oum65pF3pGpwi4sL2JobiJu6t3B7EdQR0O+Kvg78z/y71TyH5pn0e7DSWjVl028Ios8 Administration of anagrelide to prevent megakaryocyte differentiation. vXuab/8AH2ouO/8AxlxVhGKuxV2KuxV73+QP5/ReXYovKvmqUjRAaadqJqxtixr6clKkxEnY/s/6