Polycythemia Vera
What is polycythemia vera?
Polycythemia (say:
"polly-sigh-thee-me-ah") vera (PV) is a disease in which your
body makes too many red blood cells. Your blood may become too
thick. This causes serious health problems. PV may cause
shortness of breath, dizziness, itchy or flushed skin, fatigue
and headaches. Also, your hands and feet may become blue and
tender. Sometimes a person with PV may have abnormal blood
clots, which could lead to a stroke. This disease rarely
occurs early in life. Most cases occur in people who are
around 60 years old.
What
causes PV?
PV may begin with a
bone marrow problem. Bone marrow is the soft tissue inside
bones that makes blood cells. When bone marrow makes too many
red blood cells, the result is PV.
How will my doctor know if I have
PV?
If you have symptoms
of PV, your doctor may examine you and order blood tests.
Sometimes the disease may be found by accident when you have
blood work done for another reason. Your doctor will need to
speak with a hematologist (a doctor who treats blood
disorders) to make the diagnosis.
How will PV affect my life?
PV is a serious
illness that can cause death. However, with new treatments,
people who have the disease are living longer.
What is the treatment?
There is no single
treatment for PV. Doctors must adjust the treatment to each
patient. Treatment may include a phlebotomy (say:
"fluh-bot-oh-mee"). In this treatment, some of your blood
is removed to help keep the number of red blood cells
down. Treatment also may include a medicine that keeps the
bone marrow from making too many red blood cells. Doctors also
will try to treat the itchy skin and burning pain that you may
experience.
There is no cure for
PV. The goal is to make your life better by treating the
symptoms and helping you to live longer.
Source
Polycythemia
Vera
(American Family Physician May 1, 2004, http://www.aafp.org/afp/20040501/2139.html)