CONCLUSION
Pediatric patients with CE may also present with gastrointestinal symptoms (e.g., nausea, vomiting, abdominal pain, and rectal bleeding) in addition to common symptoms of erythrocytosis. Plethora was evident in fewer than half of our sample’s patients. To detect CE, physicians should carefully assess Hgb and Htc levels in light of age- and sex-adjusted normal values in children. Although phlebotomies and aspirin increase quality of life and may prevent thrombosis, family histories suggest that thromboembolic complications, even fatal ones, may develop in adolescents.
Conflict of Interest Statement: There is no conflict of interest or financial disclousure.