Anyone living with Essential Thrombocythemia with JAK2?

Posted by lindamarie63 @lindamarie63, Dec 3, 2024

Has anyone been living with,ET, jac2 mutation

Interested in more discussions like this? Go to the Blood Cancers & Disorders Support Group.

Profile picture for dewz13 @dewz13

@loribmt that is a pretty good response. I won’t take it off my driver’s license yet but will stay in contact about it with my Doctors

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@dewz13 Donation was something Mom had said she wanted to do. But instead of saying prayers at bedside and holding her hand as she died, I spent nearly an hour answering detailed questions about her health so that the donation team could determine which organs they might use.

Lesson there is that your family needs to know that you have ET and any other ailments. They may also not be able to say goodbye to you as they wish.

I am pretty tough, but I had nightmares for months about the donation process. I've told my son and husband no donation for my organs because of the ET, and I am glad to spare them what I experienced.

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Profile picture for janemc @janemc

@biggermike3

For many of us with ET, the cause is a mutation in one of the three proteins that govern blood cell production.

Those proteins are JAK2, CAL or MPL.

So if your bloodwork shows an abnormality in your JAK2 protein -- you have JAK2-driven ET.

Does that help?

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Hi Jane. Oh ok thank You.

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I just discovered this forum, and find it gives me so much information. I have ET. I have been on HU for about 19
years. Recently I have been dealing with an ulcer on my ankle that isn't healing, which I understand is a side-effect. My dr now wants me to stop the HU and start on interferon injections. Has anyone else had this experience? I do not want to start this new treatment, but unsure of what to do. I would appreciate any suggestions or options. Thank you for sharing.

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Profile picture for sckf @sckf

I just discovered this forum, and find it gives me so much information. I have ET. I have been on HU for about 19
years. Recently I have been dealing with an ulcer on my ankle that isn't healing, which I understand is a side-effect. My dr now wants me to stop the HU and start on interferon injections. Has anyone else had this experience? I do not want to start this new treatment, but unsure of what to do. I would appreciate any suggestions or options. Thank you for sharing.

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Hi @sckf Unfortunately, leg ulcers can be a potential side effect from HU for some longer term patients. Not everyone has this happen but when it does, the ulcers may be diffuclt to heal. For that reason doctors may opt to switch treatment or lower dosages in order to help the lesions to heal.

HU has been a front-line medication for years for diseases such as ET, PV and other MPNs (myeloproliferative neoplasms). It’s effective and cost effective. However, there are other drugs which are also used to treat MPN’s. Here are the most common: Besremi, Jakafi, Anagrelide and Pegasys (peginterferon alfa-2a) Each has a different mechanism of action.
The goal right now is to allow your skin to heal to prevent infection. I know from my own experience having to switch drugs that have worked for years to something new can be stressful. But you have a rather nasty complication brewing with your current drug and that takes precedence for the change.

In order that you may learn a little more about HU leg ulcers I found this article for you: From Dermnetnz.org. https://dermnetnz.org/topics/hydroxyurea-induced-cutaneous-ulcer

I also found some discussions with other members who have switched from HU to Pegasys. (That is one of the more common names for the interferon injections. Not sure which one your doctor will be recommending).

@chocolategirl posted this dicussion several months ago:
https://connect.mayoclinic.org/discussion/anyone-have-et-and-on-pegasys-instead-of-hydroxyurea/
More can be found with the results of this search. Lots of mentions of Pegasys https://connect.mayoclinic.org/search/

I’m sure having this ankle ulcer that won’t heal is pretty troublesome. Wouldn’t it be nice if you were able to have that heal again?

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I know we can't donate blood or blood products

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Profile picture for sckf @sckf

I just discovered this forum, and find it gives me so much information. I have ET. I have been on HU for about 19
years. Recently I have been dealing with an ulcer on my ankle that isn't healing, which I understand is a side-effect. My dr now wants me to stop the HU and start on interferon injections. Has anyone else had this experience? I do not want to start this new treatment, but unsure of what to do. I would appreciate any suggestions or options. Thank you for sharing.

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@sckf
Has your doctor looked into whether there might be any underlying vascular or circulation issues contributing to the ulcer?

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I have ET and also recurring melanoma and breast cancer 13 years ago. I would be interested to know if other ET sufferers have had other cancers too.

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I am really appreciative of this group. I know we have all had long journeys and it’s just overwhelming.

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Profile picture for Lori, Volunteer Mentor @loribmt

Hi @dmcj Oh gosh, I’m sorry to see that your daughter is so sad and depressed right now with the changes in her health. That’s very understandable when she feels like crud. Words will mean little to her right now. But there is always hope!

If you’re heading to Mayo-Rochester, that is my home away from home with the amount of time I’ve spent there. Whether Rochester or one of the other campuses, I know your daughter is in the best of hands! Mayo’s hematology departments are second to none. I’m living proof of that!

The collaborative team approach at Mayo is also an incredible experience. Your daughter will be seen by a specialist and then the team takes over from there. If other doctors from different areas are required they just magically pop up on her team. You are most welcome to go along with your daughter to her appointments to be an extra set of eyes and ears. Take a small notepad or phone to make notes.
Also make sure her Patient Portal is set up. That will be the lifeline between her team and herself. All her tests results, appointments and notes will be on that portal.

Are you visiting Mayo Rochester?

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@loribmt

Yes we are waiting to
Hear back from them.
Any tips.

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Profile picture for janemc @janemc

@dmcj

What your dear daughter is suffering is indeed frightening.

The horrible truth is, it's when we (or our loved ones) most need help that we discover the limits of what doctors know and can do. This is especially true when the problem is rare and poorly understood.

Taking your daughter to Mayo is your path to getting the best help possible.

Of course you feel scared and desperate. But as you say: "there might be some hope."

Hang on to that hope! And please remember, we're here for you.

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@janemc you have brought me to tears. I really appreciate all the support that is here on this site. It’s been incredible to be a part of this so far. I’m hoping I could be just as supportive. Once I learn more about the Mayo Clinic and what happens there I will detail it here for anyone else who might need it

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