Diagnosing polycythemia vera

Although no cure exists for PV, treatment can prolong lives and enhance the quality-of-life for patients affected by this condition (Talarico, 1998). The insidious onset may make diagnosis difficult, but PV should be suspected when any patient presents with an elevated hematocrit. An abnormally elevated hematocrit accompanied by diagnostic features such as thrombocytosis, splenomegaly, and leukocytosis, strongly suggests PV. Prompt referral to a hematologist for bone marrow aspiration and treatment is recommended. Risk of thromboembolism can be reduced through appropriate treatment and monitoring (David, 1995).