The Surprising Symptoms of Polycythemia Vera You Might Be Ignoring
Published: Nov 23, 2023
Polycythemia vera (PV) can manifest in unexpected ways. This article dives into the common and surprising symptoms that might hint at this blood disorder.
Contents
Common Symptoms
PV often reveals itself through symptoms like headaches, dizziness, and visual disturbances. Some people experience pruritus, a severe itch, especially after warm baths. These symptoms result from the increased thickness of the blood due to excess red blood cells.
Unusual Signs to Watch For
Beyond the common symptoms, PV can cause unusual signs like erythromelalgia, a burning sensation in the hands or feet. Patients may also notice facial redness or experience unusual bleeding or blood clots that can lead to serious complications.

The Burden of Pruritus
Pruritus is a significant symptom for many with PV, described as unbearable by some. It's often triggered by water contact, with symptoms like itching, stinging, or burning, and can persist for years before a diagnosis is made. Aspirin may help alleviate this symptom for some individuals.
Frequently Asked Questions
Common symptoms include headaches, dizziness, and severe itching.
Erythromelalgia is a burning sensation in hands or feet, common in PV.
Aspirin can help relieve pruritus symptoms in some PV patients.
The Bottom Line
Recognizing symptoms of PV early can lead to better management and outcomes.
References
- Steinman HK, Greaves MW. Aquagenic pruritus. J Am Acad Dermatol 1985; 13:91.
- Saini KS, Patnaik MM, Tefferi A. Polycythemia vera-associated pruritus and its management. Eur J Clin Invest 2010; 40:828.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
AI Doctor Visit Required
Appointments available 24/7
15-min consultation. No hidden costs.
AI Doctor Visit Required
For safety reasons we have been forced to end this consultation.
If you believe this is a medical emergency please call 911 or your local emergency services immediately.
If you are experiencing emotional distress, please call the the Suicide & Crisis Lifeline at 988 or your local crisis services immediately.
Contact us
You can also email us at help@doctronic.ai
We aim to reply within 5-7 days
How likely are you to recommend Doctronic to friends or family?