Table 3.

Proposed modified criteria for the diagnosis of polycythemia vera (PV).

A1   Raised red cell mass (> 25% above mean normal predicted value, or PCV ≥ 0.60 in males or 0.56 in females)  
A2   Absence of cause of secondary erythrocytosis  
A3   Palpable splenomegaly  
A4   Clonality marker, i.e. acquired abnormal marrow karyotype  
B1   Thrombocytosis (platelet count > 400 × 109/L)  
B2   Neutrophil leucocytosis (neutrophil count > 10 × 109/L; > 12.5 × 109/L in smokers)  
B3   Splenomegaly demonstrated on isotope or ultrasound scanning  
B4   Characteristic BFU-E growth or reduced serum erythropoietin  
A1 + A2 + A3 or A4 establishes PV  
A1 + A2 + two of B establishes PV  
A1   Raised red cell mass (> 25% above mean normal predicted value, or PCV ≥ 0.60 in males or 0.56 in females)  
A2   Absence of cause of secondary erythrocytosis  
A3   Palpable splenomegaly  
A4   Clonality marker, i.e. acquired abnormal marrow karyotype  
B1   Thrombocytosis (platelet count > 400 × 109/L)  
B2   Neutrophil leucocytosis (neutrophil count > 10 × 109/L; > 12.5 × 109/L in smokers)  
B3   Splenomegaly demonstrated on isotope or ultrasound scanning  
B4   Characteristic BFU-E growth or reduced serum erythropoietin  
A1 + A2 + A3 or A4 establishes PV  
A1 + A2 + two of B establishes PV  
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