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🌱 來自: polycythemia vera (PV)

clinical manifestations of polycythemia vera🚧 施工中

clinical manifestations of polycythemia vera

(common between PV and ET)

  • Symptoms (often termed “vasomotor”)
    • 血管舒縮症狀(vasomotor symptoms)

Hyperviscosity** (erythrocytosis)

  • headache,
  • dizziness,
  • tinnitus,
  • blurred vision

Thrombosis  這個比ET還要常見

  • hyperviscosity, thrombocytosis
    • ↑ risk of DVTMIstroke;
    • transient visual disturbances (amaurosis, ocular migraine);
    • Budd-Chiari syndrome;
    • erythromelalgia 肢端紅痛症 =
      • intense burning, pain and erythema of extremities due to microvascular ischemia

Bleeding (abnormal platelet function)

  • easy bruising,
  • epistaxis,
  • GI bleeding

↑ histamine from basophils →

  • pruritus,
  • peptic ulcers;
  • ↑ uric acid (cell turnover) → gout
  • Signs: plethora多血症splenomegaly, hypertension, engorged retinal veins