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JAK2 Mutation, Low Iron and High Platelet count
Blood Cancers & Disorders | Last Active: May 24, 2021 | Replies (68)Comment receiving replies
Thank you for responding, very appreciated. As of now, knock on wood, the only mutation is the Jak2. I was on hydroxyurea for the high platelets and 81mg aspirin. I got Covid and after recovering, my bloodwork showed my hgb, rbc, wbc got very low so he took me off hydroxyurea. I get bloodwork done again in a couple weeks, I imagine platelets are high again but mine are faulty, they don't stick together. I hope you get positive results soon on your tests. How long have you had this or been diagnosed? I have had anemia for years, always told due to inflammation. My new general physician sent me to a cancer/blood dr when she saw repeated high platelets along with other signs something wasn't right. He ordered bmb and that's when I was diagnosed, so I don't know how long I've actually had it. He stated we'd monitor monthly blood work, treatment as needed, transfusions and chemo. So far 81mg aspirin each day and doing ok. Worried but trying to learn more about it. Hope to hear from you again.
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I was originally misdiagnosed with Essential Thrombocythemia in 2018 by a hematologist at the VA Hospital on Long Island based on labs and a blood smear. She said, “I know what’s wrong with you and I know how to treat you”. I didn’t believe a word of that because I’m a MIT science guy. Her diagnosis was not based on science. I called Sloan and several days later I had the BM procedure and a molecular panel that analyzes 400 blood genes for mutations. The BM results indicated MDS/MPN-RS-T and the molecular panel indicated the JAK2, SFB31, and SRSF2 gene mutations. Based on those results I was put on a daily regimen of 500mg Hydroxyurea and a 81mg aspirin. Sloan wrote a letter to the VA stating MDS/MPN-RS-T is incurable absent a stem cell transplant and I would be a Hydroxyurea indefinitely or until this blood cancer mutated to full blown leukemia. Turns out the standard protocol for this disease it’s a daily regimen of Hydroxyurea and aspirin for anyone over 65.
Regarding the Axonal Neuropathy- this sucker is more of a problem that the MDS/MPN-RS-T thing because it really effects my quality of life on a daily basis. The geneticists at Cornell won’t prescribe anything to alleviate the spasms and tingling until they know what my actual diagnosis is. Turns out many forms of Axonal Neuropathy are caused by gene mutations or low levels of one or more proteins. The trick is to identify which genes have mutated and what protein levels are missing or are either too low or too high. I have tried the standard drugs for nerve pain but they don’t work. So we wait for the results of the Exome Sequencing tests.