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Many people with polycythemia vera don't have signs or symptoms. Others might have: Itchiness, especially following a warm bath or shower. Headache. Dizziness. Bleeding or bruising, usually minor. Weakness.
1 Primary polycythemia: In primary polycythemia the increase in red blood cells is due to inherent problems in the process of red blood cell production. 2  Secondary polycythemia: Secondary polycythemia generally occurs as a response to other factors or underlying conditions that promote red blood cell production. Polycythemia can be linked to secondary causes, such as, chronic hypoxia or tumors releasing erythropoietin. 2  Polycythemia vera is due to abnormally increased red cell production in the bone marrow. 3  Treatment of secondary polycythemia is dependent on the underlying condition.