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Secondary erythrocytosis due to androgens is most commonly seen in the context of T replacement therapy in men. Leydig cell ovarian tumors are a rare cause of virilization, erythrocytosis, and thromboembolism.

A Leydig Cell Tumor of the Ovary Resulting in Extreme Hyperandrogenism, Erythrocytosis, and Recurrent Pulmonary Embolism