Essential thrombocythemia

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Essential thrombocythemia. This is a myeloproliferative neoplasm. It may result from the acquired JAK2V617F mutation. Fully referenced neurology checklist.

Pathology

  • This is a myeloproliferative neoplasm
  • It may result from the acquired JAK2V617F mutation
  • It results from an expansion of the megakaryocytic lineage
  • This manifests as isolated increase in platelet counts

Systemic features

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Haemorrhagic features

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Vascular features

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Transient neurological features

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Risk factors for neurological involvement

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Treatment

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References

  1. Billot S, Kouroupi EG, Le Guilloux J, et al. Neurological disorders in essential thrombocythemia. Haematologica 2011; 96:1866-1869.
  2. Koudstaal PJ, Koudstaal A. Neurologic and visual symptoms in essential thrombocythemia: efficacy of low-dose aspirin. Semin Thromb Hemost 1997; 23:365-370. 
  3. Martin EA, Lavin PJ, Thompson AJ. Painful extremities and neurological disorder in essential thrombocythaemia. J R Soc Med 1984; 77:372-374.
  4. Brière JB. Essential thrombocythemia. Orphanet J Rare Dis 2007; 2:3. 
  5. Kato Y, Hayashi T, Sehara Y, et al. Ischemic stroke with essential thrombocythemia: a case series. J Stroke Cerebrovasc Dis 2015; 24:890-893. 
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