I am a 34-year-old female. I have been itching all over for months and constantly covered with bruises, petechiae, and livedo reticularis. I was diagnosed with erythromelalgia. I also have severe bone pain. My blood work came back with elevated RBC, Hb, Hct, low alkaline phosphate, low BUN, and creatinine. My vitamin B12 levels are in the 1000s and not under 200. The neurologist says that I have fibromyalgia and changed my seizure medicines for juvenile myoclonic epilepsy. Do I think that I should visit a hematologist and figure out why my bones hurt so badly in my legs and why I am so itchy? My current medication includes Oxycodone and Lamotrigine for epilepsy.
Other values are within the normal range (attachment removed to protect patient identity) suggesting no renal or liver disorders.
Increased hematocrit will slow down blood flow due to increased viscosity and this can cause few RBCs to move out and lead to these symptoms. Even migraine, bone pain, and increased itching can be attributed to sluggish blood flow.
Polycythemia vera is a cancerous condition and requires evaluation. I would strongly urge you to meet a hematologist.
I hope there are no other causes of polycythemia like lung disorders or staying in hilly regions, etc.
With high vitamin B12 and polycythemia, polycythemia vera needs to be seriously evaluated.
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.. level, RBC (red blood cells), and PCV (packed cell volume) are high. The lymph node, liver, and spleen need to be clinically examined.
Do you have a history of dizziness, weakness, and stroke?
High level of RBC and hemoglobin can cause blood clots an Read full
.. for prolonged duration can lead to high RBC count, high hematocrit and high hemoglobin level. But eight-hour fasting cannot lead to such findings. It is advisable to repeat your test after a few days. Read full
.. can lead to heart failure, chronic lung disease, etc., and hence, polycythemia occurs. It is called secondary polycythemia. With the treatment, the prognosis is good in secondary polycythemia.
But, polycythemia can occur as primary polycythemia as Read full
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