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EasyHaematologySecondary polycythaemiaau-amcau-racp

A 68-year-old man is found to have haemoglobin 190 g/L on routine testing. He is a smoker with COPD. Oxygen saturation is 90% on room air. The haematocrit is elevated and erythropoietin level is high. What is the most likely diagnosis?

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