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.

Are you being seen by a hematologist or your GP? What are your platelets? From what I understand a bone marrow biopsy seems to be the way for an accurate diagnosis, I personally would seek out an MPN specialist. There is a list of MPN specialists in the US, I will look for the list and forward it.

I am 78 and was diagnosed in June 2022. My platelets had been slowly rising over a few years, When they hit 621 my GP referred me to a hematologist. Since I was on Eliquis for Paroxysmal AFib I think that is why he did not refer me sooner,

I like my hematologist as she really listens and explains. I had very extensive labs and a bone marrow biopsy. My diagnosis is ET JAK2. I am on Hydroxyurea. From what I have read it is not usually given to people as young as you.

It seems to me your symptoms are unique. I would definitely get another opinion,

Eileen

REPLY
@emcobb76

I was diagnosed with ET and I do have the Jak 2 mutation. Leading up to my diagnosis I had elevated platelets and absolute lymphocytes for approx 2 yrs with my referral being “overlooked” multiple times. I had been having mild to moderate headaches daily, extreme fatigue, nausea, dizziness, chest pains, palpitations, pain in my hips and down right leg. I had additional bloodwork done, abdominal ultrasound, and bone scan. The bloodwork is how they found the Jak2 mutation, bone scan was normal, ultrasound showed some lacerations on kidneys, but doc said that was no concern. He cancelled the bone marrow biopsy, told me he wasn’t going to treat me for now and to take a low dose aspirin daily. I’m wondering if I should get a second opinion. I just turned 46, have 6 children, a wonderful husband and want to enjoy as much life as possible without all the side effects. I won’t let them stop me though, we have started a workout routine again and I try to do as much active stuff with the kids as I can! Since starting the aspirin, I have had an increase in the headaches, and almost constant ringing in my ears.

Jump to this post

Please look for my reply to you. I did not hit reply so it was just added. I signed it Eileen.

You can find a list of MPN specialists on MPNforum.com. You can also see a lot of information on MPN Voices. Sign up on healthunlocked.com.

Eileen

REPLY
@emcobb76

I was diagnosed with ET and I do have the Jak 2 mutation. Leading up to my diagnosis I had elevated platelets and absolute lymphocytes for approx 2 yrs with my referral being “overlooked” multiple times. I had been having mild to moderate headaches daily, extreme fatigue, nausea, dizziness, chest pains, palpitations, pain in my hips and down right leg. I had additional bloodwork done, abdominal ultrasound, and bone scan. The bloodwork is how they found the Jak2 mutation, bone scan was normal, ultrasound showed some lacerations on kidneys, but doc said that was no concern. He cancelled the bone marrow biopsy, told me he wasn’t going to treat me for now and to take a low dose aspirin daily. I’m wondering if I should get a second opinion. I just turned 46, have 6 children, a wonderful husband and want to enjoy as much life as possible without all the side effects. I won’t let them stop me though, we have started a workout routine again and I try to do as much active stuff with the kids as I can! Since starting the aspirin, I have had an increase in the headaches, and almost constant ringing in my ears.

Jump to this post

I do not have ET but I do have PV. Your ET is one of the three Philadelphia chromosome-negative Myeloproliferative Neoplasms, ET, PV, and MF. I just call mine PV for short. I was diagnosed with PV after having a very high platelet count during a doctor's visit. After having the most detailed blood testing of my life, I was diagnosed with PV with the Jak 2 mutation. I thought with a genetic mutation I would have superpowers like Spiderman but those abilities never arrived. I have been taking Hydroxurea twice a day at 500mg. along with baby aspirin. Four years later and this PV has not had much of an effect on me. I have fatigue late in the afternoon and at night so I do all my important activities in the mornings. I go to my gymnasium 3 times a week and stay active. I think this helps immensely. I too have ringing in the ear but I am sure that was from my field artillery days in the army. Other than getting tired at night, I have little if any pesky symptoms to slow me down. I wish you the best,
James, 63 and enjoying life to the fullest

REPLY
@bluegrasspv2018

I do not have ET but I do have PV. Your ET is one of the three Philadelphia chromosome-negative Myeloproliferative Neoplasms, ET, PV, and MF. I just call mine PV for short. I was diagnosed with PV after having a very high platelet count during a doctor's visit. After having the most detailed blood testing of my life, I was diagnosed with PV with the Jak 2 mutation. I thought with a genetic mutation I would have superpowers like Spiderman but those abilities never arrived. I have been taking Hydroxurea twice a day at 500mg. along with baby aspirin. Four years later and this PV has not had much of an effect on me. I have fatigue late in the afternoon and at night so I do all my important activities in the mornings. I go to my gymnasium 3 times a week and stay active. I think this helps immensely. I too have ringing in the ear but I am sure that was from my field artillery days in the army. Other than getting tired at night, I have little if any pesky symptoms to slow me down. I wish you the best,
James, 63 and enjoying life to the fullest

Jump to this post

Thank you for the reply James. I am more and more encouraged to speak with others that are also going through this journey. I am thankful for the fact that life can be “normal”. All 6 of my kids are still home with my youngest being 16, 10, and 5 so the fatigue thing really throws a wrench in daily life routines. I’m hoping with the workout things will get much better! I wish you a blessed life and welcome updates from you anytime! Thank you for your service as well!! Much appreciated and respected! 🫶🏼

REPLY
@bluegrasspv2018

I do not have ET but I do have PV. Your ET is one of the three Philadelphia chromosome-negative Myeloproliferative Neoplasms, ET, PV, and MF. I just call mine PV for short. I was diagnosed with PV after having a very high platelet count during a doctor's visit. After having the most detailed blood testing of my life, I was diagnosed with PV with the Jak 2 mutation. I thought with a genetic mutation I would have superpowers like Spiderman but those abilities never arrived. I have been taking Hydroxurea twice a day at 500mg. along with baby aspirin. Four years later and this PV has not had much of an effect on me. I have fatigue late in the afternoon and at night so I do all my important activities in the mornings. I go to my gymnasium 3 times a week and stay active. I think this helps immensely. I too have ringing in the ear but I am sure that was from my field artillery days in the army. Other than getting tired at night, I have little if any pesky symptoms to slow me down. I wish you the best,
James, 63 and enjoying life to the fullest

Jump to this post

I take hydroxurea once a day on MWF ONLY and a baby aspirin. As you i'm not sensing any major symptoms other than being tired late afternoon into the evening. I'm 77.

REPLY

Yes, i'm dealing with JAK 2 mutation, had a biopsy which confirmed MDS/MPN syndrome. I take one 500 mg hydrea capsule on MWF ONLY to keep blood and platelets in balance. Get tried in early afternoon into evening.

REPLY
@dancouclanel4

Yes, i'm dealing with JAK 2 mutation, had a biopsy which confirmed MDS/MPN syndrome. I take one 500 mg hydrea capsule on MWF ONLY to keep blood and platelets in balance. Get tried in early afternoon into evening.

Jump to this post

What time of day do you take yr HU?

Asking bc I am CALR, but something about late afternoon plows me under! I have tried coffee, fruit, a hit of sugar, extra water, walk--but nothing works. Maybe a nap would, but then I fear I wouldn't sleep at night. Fatigue is not always severe, but when it is, I can hardly put words together.

Wondering if changing HU from bedtime to mornings would make a diff.

REPLY

Usuallly mornings. But i ALWAYS take with food, sometimes i don't eat breakfast due to fasting so wait later into the day. Good luck on your journey.

REPLY

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

REPLY
@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

Jump to this post

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

REPLY
Please sign in or register to post a reply.