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It is more commonly found in people over age 60, with a prevalence of about 2-5 in 10,000 people.[ref][ref] Symptoms of polycythemia vera can include:[ref] Itching, especially after heat exposure, due to histamine release Gouty arthritis or toe joint pain Burning in the hands or feet Fatigue, weakness, headaches Bloating or fullness due to an enlarged spleen However, many people with polycythemia vera (up to 50% according to one study) have no symptom s when they are diagnosed

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