Case 29 – update 1

We have a gentleman presenting with intermittent angina-like chest pains who is polycythaemic.

From our contributions we have ascertained the following about our patient:

  • He is a smoker – 20-30 per day lifelong
  • He probably drinks too much alcohol and frequently binge drinks
  • He is usually a bit short of breath and puts this down to his smoking
  • He does not have any other cardiovascular risk factors but has not visited his GP in years and did have an episode of transient sudden onset left arm weakness six months previous
  • He has not had any venous thromboembolism and there has been no weight loss
  • There is no family history of any blood-related problems
  • There is no splenomegaly

Questions:

  • How do you classify polycythaemia?
  • Can you name a potential cause in this case and what are the differential diagnoses?
  • What may you see in the blood film?

Please reply on Twitter and always include #teamhaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to  evolve over the coming week so keep checking #teamhaem for more information.

Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.

TeamHaem are not a position of authority.  It is an educational platform to allow discussion and learning.

About TeamHaem

Online education and discussion about all things haematological
This entry was posted in Myeloproliferative neoplasm, Related to other specialities and tagged . Bookmark the permalink.

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