12 September 2024
: Case report 
Challenges in Diagnosing Polycythemia Vera in Primary Care: A 55-Year-Old Malaysian Woman with Atypical Presentation
Mistake in diagnosis
Noor Shazwani Haji Paiman1ABEF, Nafiza Mat Nasir
1ABEF*, Hayatul Najaa Miptah 1EF, Norashikin Saidon2E, Madyhah Abdul Monir3E
DOI: 10.12659/AJCR.944202
Am J Case Rep 2024; 25:e944202
Table 1. Comparison of laboratory data and signs/symptoms related to phlebotomy. This table compares the laboratory data, including hemoglobin (Hb) and hematocrit (HCT) levels, with the clinical signs and symptoms observed in the patient before and after phlebotomy treatment.
| Laboratory or symptoms | Before phlebotomy | After phlebotomy | |||
|---|---|---|---|---|---|
| 2 weeks | 4 weeks | 3 months | 6 months | ||
| RBC (10/mm) | 8.4 | 7.9 | 7.4 | 6.5 | 5.7 |
| Hgb (gm%) | 20.2 | 19.9 | 18.7 | 16.5 | 16.4 |
| Hct (vol.%) | 65.5 | 63.4 | 59.7 | 53.3 | 52.5 |
| WBC (/mm) | 16.0 | 17.3 | 18.7 | 18.9 | 8.1 |
| Total cholesterol | 5.3 | - | - | - | 4.7 |
| GGT | 52 | - | 65 | - | 37 |
| Eye redness | ++ | ++ | + | + | + |
| Giddiness | ++++ | +++ | + | - | - |
| Blood pressure | 154/91 | -- | - | - | 120/80 |
| * : ++++ severe, +++ moderate, ++ mild, + intermittent, - resolved. | |||||