Essential Thrombocythemia: Looking for information and support

Posted by shenriq @shenriq, Jun 4, 2018

I was recently diagnosed with Essential Thrombocythemia, a rare incurable blood cancer. Platelet count aside, I am asymptotic. This current condition morphed from (constitutional) thrombcytosis, something I’ve lived with for 25+ years. While the new diagnosis was the result of a bone marrow aspiration and biopsy, my age was an additional factor, which was completely disarming, having been walking around unwittingly for the past 8 years! While at the low end of risk for clots, heart-attacks and stroke, nothing has truly changed - except the “C” word. No chemo yet, but active discussion about hydroxyurea. Uncertainty about ET is anxiety provoking and swoethatl, but I’m feeling betrayed by my blood. I’m looking for all information about ET, the chemo and support.
Thanks!

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ET diagnosis - MPN
Hello all,
I was diagnosed with ET in 2020 via BMB and blood work. But looking back I had high platelets for over ten years but I guess my primary doctor thought it was due to fibros and heaving bleeding at the time. I had a hysterectomy in 2019 then my platelets went up instead of stabilizing. I recently did some bloodwork and my RBC morphology states something I never saw before: "slight basophillic stipppling, few elliptocytes/ovalocytes, moderately increased ploychromasia 2-5% schistcytes (fragments) few teardrop forms, megathrombocyes/giant platelets and my immature reticulocytes fraction is high at 32.
I am honestly not dealing with any changes well and I dont see my haemo until next week. Should I be worried?

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Profile picture for marylynda @marylynda

Does anyone have this?
I have been having problems with total fatigue no matter how hard I try to do things I give out.
And my eye as well as right side of head

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I have periods of extreme tiredness whenever my red blood count drops. I have ET and am anemic. I had been on hydroxyurea after an anemic episode in the 80s. Had a bone marrow biopsy that showed my marrow wasn’t functioning. Was switched to Anagralide a year or so ago. Forgot to take anagrelide for a few days and my hematocrit went up to 27 which was the highest ever but so did my platelets. Now on a balancing act with platelets and hematocrit. Have had 4units of red blood cells in the last 3 weeks and feel energetic now

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Profile picture for lourdene @lourdene

I was diagnosed with ET at 37 with platelets at 890. I started on aspirin only and was monitored every 3 months. I never had any symptoms. My hematologist told me he would put me on chemo if my platelets got to a million. That never happened and I am now 67. I was very afraid initially. But I adjusted and over time my platelets stabilized in the 500s. Very recently I learned I am JAK2 positive so I started on Pegasus 2 weeks ago. So far no side effects. So just keep enjoying your family and try not to dwell on this. Who knows what will happen to any of us!

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Hi Lourdene,
Good luck with your Pegasys journey, Hope you update us on your progress. Eileen

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Profile picture for ttown @ttown

Hi Wiggins32....My nurse practitioner was the person who found the causative factor of my high platelet count by doing a JAK2 blood test. That took about two weeks for a diagnosis to emerge and a gene mutation was the causative factor for the high platelets and low iron for me. From there, she referred me to a hematologist/oncologist and he is the one who ordered the bone marrow biopsy. He did that to make sure that was all that was going on with my elevated blood platelets (no other type of cancer). I am fairly new to this forum and this diagnosis - ET or Essential Thrombocythemia, so I am learning as well. Be your own advocate.....my Primary Care Physician blew me off when my platelets were high - over 600 - last March - said it was no big deal. I am so glad that I happened to "only" see his nurse practitioner in August - she hit the ground running looking for and testing for any reason that the platelets were over 600. She is the one who ordered the JAK2 blood test. My oncologist was amazed with her. She was methodical with her approach and he said she did everything right. My iron was low and she put me on a low dose of supplemental iron. I was so blessed and will always be so grateful for her aggressive approach. I am doing much better now - had an initial outbreak of mouth sores from the Hydroxyurea they had prescribed. Was taken off for about 5 days and now back on for every other day and doing nicely so far. Platelet count is in the normal range now. Hoping you get the clear diagnosis soon.
Ginger

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I was also just able to go on Hydroxyurea every other day instead of daily. My platelets went down to 498 first month and 434 the second month. Hope it continues. Eilee

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Profile picture for hdollar1 @hdollar1

I was diagnosed with ET at 27. I had been having unusual, extensive bruising and severe fatigue, my doctor did labs and referred to hematology for high platelets. I was misdiagnosed with Von WillIebrand Disease initially and went for a second opinion. I do not have Von WillIebrands, but do have ET, JAK2 positive, and platelets climbed to 700. I had a bone marrow biopsy which only showed ET. It is a life altering, terrifying diagnosis to face, especially at my age when there are hardly any studies to be found on people my age with ET. Life expectancy is a very scary unknown for me, especially with 4 little kids that I would love to be here for for a long time! It's terrifying to think about not being here for them, but stressing over it will do nothing, so I try not to. I was started on 1 baby aspirin a day and have labs every 3 months. My hematologist followed me through my last pregnancy, which was the first pregnancy with ET that he or my high risk OB had ever managed! It seems to be very rare to be diagnosed as young as I was. I was increased to 2 baby aspirin a day immediately after delivery, and have kept to that regimen since. I am now 31 and have had no complications regarding the ET. My hematologist plans to start HU when my platelets hit 1000. Luckily in my pregnancy my platelets went to a normal level (pregnancy naturally lowers platelets) and they have stayed around 400 since

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I was diagnosed with ET at 37 with platelets at 890. I started on aspirin only and was monitored every 3 months. I never had any symptoms. My hematologist told me he would put me on chemo if my platelets got to a million. That never happened and I am now 67. I was very afraid initially. But I adjusted and over time my platelets stabilized in the 500s. Very recently I learned I am JAK2 positive so I started on Pegasus 2 weeks ago. So far no side effects. So just keep enjoying your family and try not to dwell on this. Who knows what will happen to any of us!

REPLY

I was diagnosed with ET at 27. I had been having unusual, extensive bruising and severe fatigue, my doctor did labs and referred to hematology for high platelets. I was misdiagnosed with Von WillIebrand Disease initially and went for a second opinion. I do not have Von WillIebrands, but do have ET, JAK2 positive, and platelets climbed to 700. I had a bone marrow biopsy which only showed ET. It is a life altering, terrifying diagnosis to face, especially at my age when there are hardly any studies to be found on people my age with ET. Life expectancy is a very scary unknown for me, especially with 4 little kids that I would love to be here for for a long time! It's terrifying to think about not being here for them, but stressing over it will do nothing, so I try not to. I was started on 1 baby aspirin a day and have labs every 3 months. My hematologist followed me through my last pregnancy, which was the first pregnancy with ET that he or my high risk OB had ever managed! It seems to be very rare to be diagnosed as young as I was. I was increased to 2 baby aspirin a day immediately after delivery, and have kept to that regimen since. I am now 31 and have had no complications regarding the ET. My hematologist plans to start HU when my platelets hit 1000. Luckily in my pregnancy my platelets went to a normal level (pregnancy naturally lowers platelets) and they have stayed around 400 since

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Profile picture for marthajones @marthajones

Thank you for your comment about daily living tips to help fight off infections.

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You’re so welcome. I’m glad you found the tips useful. That’s how I’ve been living my life the past 3.5 years after my bone marrow transplant. That happened before Covid was even around. But the precautions required post transplant was good training for Covid and it’s been working for me.

I think one positive thing that has happened with the Covid pandemic is people who are immunocompromised are less embarrassed to wear masks in public to avoid illness.

Do you get out with friends and family often?

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Thank you for your comment about daily living tips to help fight off infections.

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Profile picture for ttown @ttown

Hi Wiggins32....My nurse practitioner was the person who found the causative factor of my high platelet count by doing a JAK2 blood test. That took about two weeks for a diagnosis to emerge and a gene mutation was the causative factor for the high platelets and low iron for me. From there, she referred me to a hematologist/oncologist and he is the one who ordered the bone marrow biopsy. He did that to make sure that was all that was going on with my elevated blood platelets (no other type of cancer). I am fairly new to this forum and this diagnosis - ET or Essential Thrombocythemia, so I am learning as well. Be your own advocate.....my Primary Care Physician blew me off when my platelets were high - over 600 - last March - said it was no big deal. I am so glad that I happened to "only" see his nurse practitioner in August - she hit the ground running looking for and testing for any reason that the platelets were over 600. She is the one who ordered the JAK2 blood test. My oncologist was amazed with her. She was methodical with her approach and he said she did everything right. My iron was low and she put me on a low dose of supplemental iron. I was so blessed and will always be so grateful for her aggressive approach. I am doing much better now - had an initial outbreak of mouth sores from the Hydroxyurea they had prescribed. Was taken off for about 5 days and now back on for every other day and doing nicely so far. Platelet count is in the normal range now. Hoping you get the clear diagnosis soon.
Ginger

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It was a nurse who got the ball rolling for me, too! I have a nutty extended family, and the GP thought it was all stress related. Bless nurses for their concern and advocacy. Love them!

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Profile picture for nohrt4me (Jean) @nohrt4me

I am really sorry you are having trouble with HU. Could you ask yr doc about anagrelide? Or Pegasus?

Some people just can't take the HU.

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Doing better now - off HU for 5 days and now back on every other day. So far...all is good. Thank you for your information.

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