What is the Difference Between Polycythemia and Erythrocytosis?

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Polycythemia and erythrocytosis are terms that are often used interchangeably, but they have slightly different meanings. Both conditions involve an increase in red blood cell (RBC) mass, which can lead to an increase in hemoglobin and hematocrit levels. However, there are some differences between the two:

  • Erythrocytosis: This term refers to an increase in RBCs relative to the volume of blood. It can be primary, which is caused by a genetic mutation or polycythemia vera, or secondary, which is caused by an underlying disease or the use of certain drugs.
  • Polycythemia: This condition refers to an increase in both RBC concentration and hemoglobin, the protein in red blood cells that carries oxygen to the body's tissues. Polycythemia vera is a subtype of polycythemia and is an acquired, Philadelphia-chromosome negative, myeloproliferative disorder.

The clinical significance of both conditions lies in the associated risk of thrombotic events due to hyperviscosity of blood. In cases of polycythemia vera, there is also a potential for progression to leukemia. Diagnosis and treatment are essential to prevent complications associated with these conditions, such as life-threatening blood clots.

Comparative Table: Polycythemia vs Erythrocytosis

Polycythemia and erythrocytosis are terms used to describe an increased concentration of red blood cells in the blood. While they are often used interchangeably, there are some differences between the two conditions. Here is a table comparing the two:

Feature Polycythemia Erythrocytosis
Definition Refers to an increased red blood cell mass and/or hemoconcentration. Refers to an increased red blood cell mass.
Causes Primary (inherited) or secondary (acquired) causes. Primary (inherited) causes.
Hemoglobin/Hematocrit Levels Increased hemoglobin: >16.5 g/dL (10.3 mmol/L) in men or >16.0 g/dL (10.0 mmol/L) in women. Increased hematocrit: >49 percent in men or >48 percent in women. High levels of hematocrit and/or hemoglobin.
Treatment Depends on the cause and severity of the condition. For example, in polycythemia vera, lifelong treatment is required. Depends on the cause and severity of the condition. For example, in inherited cases, only mild symptoms may be present and not life-threatening.

Diagnosing the specific cause of erythrocytosis or polycythemia is important for proper management of the patient. It is essential to consult a healthcare provider for an accurate diagnosis and appropriate treatment plan based on the cause and severity of the condition.