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Break this down into two parts. Erythrocytosis means an elevated red blood cell count. Secondary means that it is due to other causes than "first" or usually considered, or that develops due to some other "primary" cause. For example, when you get a cold, a virus is the primary infection, and antibiotics are not useful. Some people, however, due to a poor immune system or other complicating factors, also contract a bacterial infection (Strep throat, or a sinus infection), and this would be a secondary infection.

Secondary erythrocytosis is an elevated red blood cell count NOT due to a "primary" bone marrow disease called polycythemia vera. (Polycythemia means a high cell count, usually red blood cells.) Therefore, there are several causes of secondary erythrocytosis, and there would be multiple tests necessary to determine the specific cause. Leading possibilities would be any condition that lowers the oxygen levels in the blood stream (lung or heart disease, pneumonia, heartworm infection) and several tumor or cancer conditions.

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Q: What is secondary erythrocytosis in a dog?
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