Doctor insights on:
How Do You Prevent Polycythemia Vera
Sometimes.: Most patients with polycythemia vera develop the condition in adulthood, most commonly from an acquired mutation in the jak2 gene, and are not born with it. However, there are families who pass on the tendency to have a high red blood cell count through a variety of genetic mutations. It is usually well known in the family when that is the case. ...Read more
Your Doctor is guide: P. Vera is a rare condition. It is not difficult to diagnose provided you have consulted a specialist...A hematologist is the right specialist to help you with this issue. It typically manifests with high hemoglobin( >17 grams) and often has high white blood cell count as well as high platelets associated with high hemoglobin levels. ...Read more
Same as in Gout: About 10-15% of polycythemia vera patients develop gout, a painful inflammation of certain joints (esp. The big toe) caused by precipitation of high uric acid content in the blood. Polycythemics already have a higher level of uric acid (about 50% have hyperuricemia) in their blood due to rapid turnover of red cells. It would be prudent to avoid foods that could precipitate a gouty attack. ...Read more
Not that I know of.: The big changes of this are elevated rbc count, hemoglobin, hematocrit, and decreased ESR (erythrocyte sedimentation rate). The elevations come without decrease in volume, and can be up to 70-80% for hematocrit, and 8-9 million rbc count. Changes in RDW may be from so many rbc's in the system, but even if they do occur, do not apparently have effect on prognosis or relevance to the cause of this. ...Read more
Indirectly: Because polycythemia Vera results in too many red blood cells being formed, blood flow may stagnate leading to vascular obstructions. If this occurs in the eye, as in a central retinal vein occlusion, the resulting consequence can lead to secondary glaucoma, which is often very difficult to manage. ...Read moreSee 1 more doctor answer
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