Erythrocytosis - Polycythemia Differential Diagnosis Algorithm

Elevated Hemoglobin:
 • Males: Hb > 16.5 g/dL/HCT ≥ 49%
 • Females: Hb > 16 g/dL/HCT ≥ 48%

Polycythemia Vera
Secondary Polycythemia - Acquired Causes:
 • Hypoxia-driven: Cardiac/pulmonary disease, Smoking/CO poisoning, OSA/OHS, High altitude habitat
 • Hypoxia-independent: Post-renal transplant, Paraneoplastic (e.g., RCC, HCC, uterine fibroids, cerebellar hemangioblastoma, pheochromocytoma), TEMPI (VEGF normal), Testosterone/drug use

Matthew Ho, MD PhD @MatthewHoMD

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