{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T14:28:13Z","timestamp":1787149693672,"version":"build-2736575974"},"reference-count":9,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,8,6]]},"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:p>A middle-aged adult presented with non-severe alcoholic hepatitis after 3 years of daily whisky intake (80\u2013100\u2009mL\/day). He was noted to have persistent erythrocytosis (haemoglobin 186\u2009g\/L; haematocrit 53.8%) without leucocytosis or thrombocytosis and with normal serum erythropoietin. Secondary causes were evaluated, including hypoxia, cardiac and renal disease, and myeloproliferative neoplasms; Janus Kinase 2 Valine 617 Phenylalanine (JAK2 V617F) and JAK 2 exon 12 testing were negative. Despite intravenous hydration and reported complete alcohol abstinence, erythrocytosis persisted for several weeks after hepatic biochemistry improved. A bone marrow biopsy was planned but deferred when haemoglobin and haematocrit normalised spontaneously by 10 weeks. Overall, the presentation was most consistent with presumed alcohol-associated stress (relative) erythrocytosis, which may show delayed resolution after cessation, and careful longitudinal follow-up may avoid premature invasive investigations once polycythaemia vera and clinically important secondary causes have been reasonably excluded.<\/jats:p>","DOI":"10.1136\/bcr-2026-273640","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T14:00:19Z","timestamp":1787148019000},"page":"e273640","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Delayed normalisation of presumed stress erythrocytosis in a patient with non-severe alcoholic hepatitis"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-7444-6592","authenticated-orcid":false,"given":"Mohammad","family":"Saquib Alam","sequence":"first","affiliation":[{"name":"Department of Medicine, Faculty of Medicine, J.N. 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