How do you differentiate between JAK2 positive ET and PV when peripheral blood shows erythrocytosis and thrombocytosis?
Concordant low EPO level and bone marrow with megakaryocyte hyperplasia
Community PollStarted
In your practice, what do you use to differentiate between JAK2+ PV and ET?
51 physicians have voted
Join Mednetto vote and see how they answered.
2 Answers
Mednet MemberInvited Expert
Hematology · Johns Hopkins University
Answered on
The answer to this question is very simple. Before the discovery of erythropoietin and accurate assays for it, and before the discovery of JAK2 driver mutations, the diagnosis of polycythemia vera was clinically-based. The Polycythemia Vera Study Group (PVSG) did an extensive epidemiologic study and...
Join for free or sign in to see the full answer
Mednet MemberInvited Expert
Medical Oncology · Massachusetts General Hospital
Answered on
I imagine a pathologist would have a more precise answer here, however, when I see both thrombocytosis and erythrocytosis (especially with leukocytosis), I think the patient likely has PV as this disease is characterized by panmyelosis. The bone marrow morphology can further clarify the diagnosis- E...
Join for free or sign in to see the full answer