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Jak-2 mutation frequency in patients with thrombocytosis
1Department of HematologyMinistry of Health İstanbul Training and Research Hospitalstanbul, Turkey.
Caspian Journal of Internal Medicine
|May 8, 2018
Summary
Janus kinase 2 (JAK2) mutations are present in 42% of adults with thrombocytosis. This finding aids in diagnosing essential thrombocytosis and other myeloproliferative neoplasms.
Area of Science:
- Hematology
- Oncology
Background:
- Investigating etiological causes of thrombocytosis.
- Determining the presence of Janus kinase 2 (JAK2) mutations in thrombocytosis cases.
Purpose of the Study:
- To investigate the etiologic causes of thrombocytosis.
- To identify the prevalence of JAK2 mutations in patients with thrombocytosis.
Main Methods:
- Retrospective study of 136 patients with thrombocytosis admitted to a hematology clinic (2013-2015).
- JAK2 mutation analysis performed on patients with a preliminary diagnosis of essential thrombocytosis (ET).
Main Results:
- JAK2 mutation was positive in 58 (42%) of the 136 evaluated cases.
- Mean patient age was 56.7 years; 52% were male.
- Mean platelet count was 860.25×10^9 /L; mean spleen length was 135.1 mm.
Conclusions:
- JAK2 mutation analysis and bone marrow biopsy are key for diagnosing primary thrombocytosis in adults after excluding secondary causes.
- Myeloproliferative neoplasms and essential thrombocytosis are common causes of primary thrombocytosis.
- Myelodysplastic syndrome is a rare cause of primary thrombocytosis.
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