Polycythemia Vera (Erythema; Erythrocytosis
Megalosplenica; Myelopathic Polycythemia; Vaquez
Disease; Vaquez-Osler Syndrome; Cryptoge 525b14f nic Polycythemia; Polycythemia Rubra;
Splenomegalic Polycythemia)
General: Increased number of red blood cells; myeloproliferative disorder.
Ocular: Conjunctival vascular engorgement; dilated tortuous retinal veins; retinal hemorrhages; optic disk edema; central retinal vein occlusion; visual field defects; visual hallucinations; diplopia.
Clinical: Elevated red blood cells; systemic vascular congestion; leukocytosis; thrombocytosis; central nervous system involvement; splenomegaly; hepatomegaly; bleeding diathesis; gingival/mucosal bleeding; ecchymosis; epistaxis; neurologic abnormal dizziness; vertigo; ataxia.
Collins JF. Handbook of Clinical Ophthalmology. New York: Masson, 1982.
Garfinkel D, et al. Oculomotor nerve paresis: presenting sign of acute myeloblastic leukemia in a patient with polycythemia vera. Haematologica 1980; 65:769-772.
Patterson WP, et al. Hyperviscosity syndrome and coagulopatbies. Semin Oncol 1990; 17:210-2l6.
Wells R. Syndromes of hyperviscosity. N Engl J Med 1970; 283:183-l86.
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