Rarely erythrocytosis is a consequence of single gene variant (monogenic disorder), that can be acquired (JAK2, indicative for polycythaemia vera, PV) or inherited (EPOR, VHL, EGLN1, EPAS1, EPO, HBB, HBA, BPGM, indicative for congenital erythrocytosis, ECYT) [1,2]. Here, HBB is linked to acquired polycythemia vera.