For many people, polycythemia vera may not cause any signs or symptoms. However, some people may experience:
- Itchiness, especially following a warm bath or shower
- Excessive sweating
- Painful swelling of one joint, often the big toe
- Shortness of breath
- Breathing difficulty when you lie down
- Numbness, tingling, burning or weakness in your hands, feet, arms or legs
- A feeling of fullness or bloating in your left upper abdomen due to an enlarged spleen
When to see a doctor
Make an appointment with your doctor for an evaluation if you have any of the signs or symptoms of polycythemia vera.
Because polycythemia vera causes your blood to thicken and slows blood flow, it increases your risk of developing blood clots. If a blood clot occurs in your head, it can cause a stroke. Seek emergency medical care if you have any of the following signs or symptoms of a stroke:
April 10, 2014
- Sudden numbness, weakness, or paralysis of your face, arm or leg — usually on one side of your body
- Sudden difficulty speaking or understanding speech (aphasia)
- Sudden blurred, double or decreased vision
- Sudden dizziness, loss of balance or loss of coordination
- A sudden, severe headache or an unusual headache, which may or may not be accompanied by a stiff neck, facial pain, pain between your eyes, vomiting or altered consciousness
- Confusion, or problems with memory, spatial orientation or perception
- Tefferi A. Diagnostic approach to the patient with suspected polycythemia vera. http://www.uptodate.com/home. Accessed Nov. 18, 2013.
- Polycythemia vera. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/poly/. Accessed Nov. 18, 2013.
- Tefferi A. Polycythemia vera and essential thrombocythemia: 2013 update on diagnosis, risk-stratification, and management. American Journal of Hematology. 2013;88:508.
- Soriano G, et al. Polycythemia vera and essential thrombocythemia: New developments in biology with therapeutic implications. Current Opinion in Hematology. 2013;20:169.
- Tefferi A. Prognosis and treatment of polycythemia vera. http://www.uptodate.com/home. Accessed Nov. 18, 2013.