Table 4.

The complications of polycythemia vera

ComplicationCause
Thrombosis, hypertension Elevated red cell mass 
Organomegaly Elevated red cell mass or extramedullary hematopoiesis  
Pruritis, acid-peptic disease Inflammatory mediators or elevated red cell mass  
Hyperuricemia, gout, renal stones Increased cell turnover  
Erythromelalgia or ocular migraine Thrombocytosis  
Hemorrhage Elevated red cell mass, or acquired von Willebrand disease due to thrombocytosis 
Myelofibrosis Reaction to the neoplastic clone  
Wasting syndrome Disease acceleration  
Acute leukemia Therapy-related or clonal evolution 
ComplicationCause
Thrombosis, hypertension Elevated red cell mass 
Organomegaly Elevated red cell mass or extramedullary hematopoiesis  
Pruritis, acid-peptic disease Inflammatory mediators or elevated red cell mass  
Hyperuricemia, gout, renal stones Increased cell turnover  
Erythromelalgia or ocular migraine Thrombocytosis  
Hemorrhage Elevated red cell mass, or acquired von Willebrand disease due to thrombocytosis 
Myelofibrosis Reaction to the neoplastic clone  
Wasting syndrome Disease acceleration  
Acute leukemia Therapy-related or clonal evolution 

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