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How would you manage a patient with polycythemia and MPN symptoms (aquagenic pruritus, fatigue) that is JAK2/CALR/MPL negative but peripheral blood NGS positive for IDH2?   

VUS is >50%. EPO level is normal. How do you delineate between MPN with a noncanonical mutation vs. CHIP incidental to polycythemia?



Answer from: at Academic Institution
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