emDocs - May 24, 2017 - Author: Jeffers K - Edited by: Koyfman A and Long B
"Summary:
- Consult hematology early for recommendations, further evaluation, and definitive treatment.
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Secondary erythrocytosis is from numerous causes; a good history and physical will discover most of them! EPO level may be helpful for differentiation.
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Treatment of secondary erythrocytosis includes removal of offending cause and possibly phlebotomy.
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Consider PV in setting of elevated hemoglobin/hematocrit + symptoms (pruritus, headache, fatigue, difficulty thinking or sleeping, dizziness, hyperuricemia, and bleeding or thrombotic complications) especially in persons >60 years old.
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Initial treatment of PV includes phlebotomy (consult your specialist) and low-dose aspirin.
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Hyperviscosity syndrome: triad of bleeding, visual disturbances, and focal neurologic signs. Mainstay of treatment is hydration and hematology consult."
- Consult hematology early for recommendations, further evaluation, and definitive treatment.
- Secondary erythrocytosis is from numerous causes; a good history and physical will discover most of them! EPO level may be helpful for differentiation.
- Treatment of secondary erythrocytosis includes removal of offending cause and possibly phlebotomy.
- Consider PV in setting of elevated hemoglobin/hematocrit + symptoms (pruritus, headache, fatigue, difficulty thinking or sleeping, dizziness, hyperuricemia, and bleeding or thrombotic complications) especially in persons >60 years old.
- Initial treatment of PV includes phlebotomy (consult your specialist) and low-dose aspirin.
- Hyperviscosity syndrome: triad of bleeding, visual disturbances, and focal neurologic signs. Mainstay of treatment is hydration and hematology consult."