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.