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Living with Primary familial polycythemia due to EPO receptor mutation

An inherited blood condition in which the body makes too many red blood cells, which can thicken the blood and cause headaches and clots.

Understanding Primary familial polycythemia due to EPO receptor mutation

Primary familial polycythemia (PFCP) is an inherited blood disease that causes uncontrolled production of red blood cells.

It leads to too many red blood cells (erythrocytosis) and can make the blood thicker. The disease is present at birth, but symptoms, if any, may start in childhood or adulthood. Most people have mild symptoms. Some develop blood clots, and the risk of clots increases with age. It is diagnosed by blood tests showing high red blood cells and low EPO levels.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Headaches and dizziness
  • Tiredness (fatigue)
  • Nosebleeds
  • Shortness of breath
  • Reddish complexion
  • Blood clots in the veins

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include blood and bone marrow specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Blood and bone marrow specialists (hematologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with National Blood Clot Alliance
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Should I have EPOR genetic testing, and should relatives be tested?
What is my risk of blood clots, and how can I lower it?
How often should my blood counts be checked?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Dominant

PFCP is autosomal dominant, though some people have no affected relatives. In about 12 to 15 percent of people it is caused by changes in the EPOR gene. For most people the genetic cause is not yet known.

GeneticBlood

Also known as: congenital erythrocytosis due to erythropoietin receptor mutation; congenital polycythemia due to erythropoietin receptor mutation; epor familial polycythemia; erythrocytosis, familial, 1; erythrocytosis, familial, type 1; erythrocytosis, somatic

Patient organizations

Source: NIH GARD · Primary familial polycythemia due to EPO receptor mutationGARD ID 9843 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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