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Gaisbock syndrome, also known as stress polycythemia or polycythemia hypertonica, is a condition characterized by an elevated red blood cell count (polycythemia) that occurs without an increase in the total red blood cell mass. Instead, it results from a reduction in plasma volume, often due to factors like hypertension, obesity, and emotional or physical stress. Key Features Hypertension: High blood pressure is a common feature. Obesity: Many patients with this syndrome are overweight. Reduced Plasma Volume: The condition is often associated with a relative decrease in plasma volume, leading to an apparent increase in red blood cell concentration. Increased Blood Viscosity: This can lead to complications such as thrombosis and cardiovascular issues. Clinical Presentation Patients may present with symptoms such as: Headaches Dizziness Fatigue Facial flushing Shortness of breath Diagnosis and Management Diagnosis typically involves blood tests to measure hematocrit and hemoglobin levels, and to rule out other causes of polycythemia. Management focuses on addressing the underlying causes, such as controlling blood pressure and managing obesity #Gaisbocksyndrome #polycythemia