I have JAK2 ET and MPN: Anyone else have these symptoms?

Posted by jak2mpnpositive @jak2mpnpositive, Mar 1, 2022

Hi all,
I've suffered for many years with this MPN disorder, but it seems not many others have the same symptoms, so I'l posting this to see if anyone else has similar symptoms.
First of all, it's important to note that I had lyme disease undiagnosed for 4 years. Right around the time I started to experience symptoms from Lyme disease, my platelets shot up. With that said, I am certain that this is when the JAK2 was triggered. However, it took my another 9 years to be diagnosed with JAK2, ET MPN. My platelets are currently around 890. I am 40 years old. With a recent pregnancy, my platelets went down into normal range and I felt AMAZING!
Symptoms that I experience: Very red (almost purple) feet when sitting too long. This is not comfortable.
Upon sitting too long at a desk, typically in front of a computer, if it's consistent for several weeks, I start to feel as though I am going to die. There is no other way to explain it. It's as if my blood is stagnet. It's VERY uncomfortable. The only way for me to feel better is with exercise and continued movement.
I've had a hematologist tell me my symptoms aren't related to my MPN and I've had one tell me they are. It's very frustrating.
Does anyone else have any similar symptoms?
Thank you.

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

Hi, I was do with ET 3 years ago, + JAK2 via BM bx. I am cold intolerant and my knuckles turn purple in the cold. I am on Hydrea 500mg M-F with a low dose Asa. My lower legs have reddened and I am not sure if it’s med related or the disease process. Also my elbows get very red. Platelets are in check. No Lyme disease. I am glad to find this forum.

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@eileen11108

Have you had a bone marrow biopsy to diagnose?

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Didn’t need to at this point. Blood tests confirmed JAK2 positive.

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@sregiani

My platelets have increased over the past few months, now seeing a hematologist who just confirmed JAK2 positive. He said “not cancer” , put me on an 81mg aspirin, has me on 2 nattokinese/day, and ordered more tests. CD8 shows mild immune issues.
Anyone on LDN or low dose naltrexone? He and my PCP said these are options along with other meds.
I had cataract surgery last summer and my right eye is giving me vision problems. I’d blamed the surgeon, but from what I’ve read, there are vision issues with ET, too.
This is frustrating. I’m an otherwise healthy almost 71 yo woman who eats almost exclusively organic and work out 3x/week. The hematologist said not to look it up, there’s scary stuff online (no kidding!)
Ideas and suggestions welcomed and appreciated!

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Have you had a bone marrow biopsy to diagnose?

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@sregiani

My platelets have increased over the past few months, now seeing a hematologist who just confirmed JAK2 positive. He said “not cancer” , put me on an 81mg aspirin, has me on 2 nattokinese/day, and ordered more tests. CD8 shows mild immune issues.
Anyone on LDN or low dose naltrexone? He and my PCP said these are options along with other meds.
I had cataract surgery last summer and my right eye is giving me vision problems. I’d blamed the surgeon, but from what I’ve read, there are vision issues with ET, too.
This is frustrating. I’m an otherwise healthy almost 71 yo woman who eats almost exclusively organic and work out 3x/week. The hematologist said not to look it up, there’s scary stuff online (no kidding!)
Ideas and suggestions welcomed and appreciated!

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Welcome, @sregiani. I moved your message to this existing discussion about essential thrombocythemia
- I have JAK2 ET and MPN: Anyone else have these symptoms? https://connect.mayoclinic.org/discussion/jak2-et-and-mpn-symptomscause/

I did this so that you can easily connect with other members with ET and the JAK2 mutation like @eileen11108 @annetterzam, @ttown @dancouclanel4 and many others.

You may also be interested in these related discussions:
- How does ET affect one’s vision? https://connect.mayoclinic.org/discussion/how-does-et-affect-ones-vision/
- Essential Thrombocythemia: Looking for information and support https://connect.mayoclinic.org/discussion/essential-thrombocythemia-1/

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My platelets have increased over the past few months, now seeing a hematologist who just confirmed JAK2 positive. He said “not cancer” , put me on an 81mg aspirin, has me on 2 nattokinese/day, and ordered more tests. CD8 shows mild immune issues.
Anyone on LDN or low dose naltrexone? He and my PCP said these are options along with other meds.
I had cataract surgery last summer and my right eye is giving me vision problems. I’d blamed the surgeon, but from what I’ve read, there are vision issues with ET, too.
This is frustrating. I’m an otherwise healthy almost 71 yo woman who eats almost exclusively organic and work out 3x/week. The hematologist said not to look it up, there’s scary stuff online (no kidding!)
Ideas and suggestions welcomed and appreciated!

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I was newly diagnosed with ET with the JAK2 mutation. I do have the red feet. I had no idea that this was a symptom. Just started the aspirin and HU this week. I am interested to see if these symptoms subside. Thanks for sharing!

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Good Morning.
I too was just diagnosed with ET. I have been experiencing Nausea, Headaches, exhaustion and itchy skin for about the last three years. Because of the elevated platelets they connected me with hematologist/oncology. I have been prescribed Hydrea, baby aspirin and nausea meds. Thought I was going crazy with all the symptoms but nothing to show, until October 2022. I am really hoping that the meds work. I will start being more motivated to exercise a little more daily. This is a great find and I love hearing about others stories. This is the first time I have ever joined a group like this. Thank You

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Sounds like a vascular issue is possible, and possibly blood clots. I had Delta variant of covid last summer and it was nearly death for me. A major symptom was I developed 9 blood clots in both legs, my arms, plus bilateral pulmonary embolism. It was very uncomfortable and a type of pain I had never had (like severe internal pressure in my calves and back of knees). I had purplish toes, leg swelling, and bulging veins. Mine was caused by covid, but I had to be under care of an Interventional Cardiologist for 6 months and taking blood thinner Eliquis. Honestly, I had no idea how seriously life threatening the situation was. I'm just grateful that the discoloration, painful swelling and throbbing in legs/feet that I went to ER. I'm fine now, but I still need to be watched carefully bcuz once a person has blood clots, they are always susceptible. Be safe and let us know how you are doing.

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Yes, I used to get purple toes! Tended to get worse when it was cooler…like 60 degrees, because I live in Phoenix!

Blood cancer could be contributing, but I went to a Vascular Surgeon and after a CT scan of my arteries, I had a 40% blockage. Normally they would wait to use a stent, but with my symptoms they put one in, And the put me on Xarelto=blood thinner! Fixed my issues, since it IS a circulation problem..exacerbated by the ET! Could be why they are confused…
Good luck!
Steve

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@ttown

I am 77 and was recently diagnosed with JAK2 ET in September of this year and have had the red feet and ankles. I also have red splotches (for lack of a better word) on the back of my left leg. These are not painful - just unsightly. I have a small level of numbness in both feet and in my left leg. These things are recent. My hematologist/oncologist prescribed hydroxyurea 500 mg daily. I had no side effects the first month. I had a bone marrow biopsy and it was confirmed, that indeed, it was the ET JAK2. My platelets went from around 600 to normal within 10 days of starting the hydroxyurea. I was thinking all was great......then the sores in and on my mouth appeared and my doctor took me off the meds for a 5 day period and I am to start taking the hydroxyurea every other day. It has taken a toll on me - It was difficult to eat and swallow. I still continue with the low dose aspirin which I was already taking when I was first diagnosed. Now I am terrified to go back on a full dose of the hydroxyurea for fear of the mouth sores. This is all so new to me. Has anyone else had problems with sores in their mouth?
Ginger

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You seem extremely responsive to Hydroxyurea (HU) if your platelets came down in only ten days.

As to mouth sores my literature suggests gargling and rinsing your mouth with warm salt water. A tip I read on another website was to rinse and swallow water before taking the HU capsule,

I am 78 and was diagnosed with ET JAK2 in June 2022. When I first saw the hematologist my platelets were 621 but jumped quickly to 735. She started me on HU 500 mg daily. I started with headaches every day. I was taken off it for a few weeks and now on 500 mg every other day. Headaches are much less. I also get very tired by evening and my scalp/hair/skin/eyes are drier. I see her in a couple days so will see how that goes,

Good luck with your journey. Eileen

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