“…When they are reported, the findings may not always indicate a true polycythaemia, and this may cause difficulty in diagnosis, as in this case. Relative polycythaemia has been reported in at least two previous high affinity variants, Hb Rahere (Lorkin et al ., 1975) and Hb Heathrow (Beard et al ., 1979), although, in the initial report of Hb Heathrow (White et al ., 1973) the affected patient had a true polycythaemia as evidenced by an increase in red cell mass. The association of a high oxygen affinity haemoglobin variant with relative polycythaemia was reviewed by Stephens (1977).…”