PMID: 30026432Jul 22, 2018Paper

A Case of Essential Thrombocythemia with a JAK2V617F Mutation andPolymyalgia Rheumatica

Gan to kagaku ryoho. Cancer & chemotherapy
Kenji Shinohara

Abstract

A patient with polymyalgia rheumatica(PMR)had increasing thrombocytosis. CRP levels, the ESR, and serum interleukin (IL)-6 levels were slightly elevated, and the patient tested negative for RF and anti CCP antibodies. Muscle pain was ameliorated with the administration of corticosteroids. Genetic analysis of the peripheral white blood cells demonstrated the presence of a JAK2V617F mutation. The muscle pain experienced by the patient was considered to be due to essential thrombocythemia( ET)of myeloproliferative neoplasms(MPNs)along with an inflammatory reaction. Unfortunately, the patient died suddenly because of cerebral infarction.

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