A 58-Year-Old Woman with Polycythemia Vera

April 30, 2019

A 58-Year-Old Woman with Polycythemia Vera


Case: 58-Year-Old Woman Diagnosed With Polycythemia Vera

November 2018

  • A 58-year old woman presents to PCP complaining of abdominal pain, dizziness and headaches
  • PE: BP 140/85; Splenomegaly ~6 cm below left costal margin
  • PMH: No prior history of thrombosis
  • Lab values:
    • HGB: 17.1 g/dL
    • Hct: .50 L/L
    • RBC: 71 x 1012/L
    • WBC: 13.2 x 109/L
    • Serum EPO: 4.1 mU/mL
  • Bone Marrow Biopsy: Erythroid hyperplasia
  • Cytogenetics: JAK-V617Fmutation