A 63-Year-Old Man with Myelofibrosis : Episode 4
Monitoring Therapeutic Response in Patients With Myelofibrosis
A myelofibrosis specialist discusses his approach to monitoring treatment response in patients with myelofibrosis.
EP: 1.Patient Profile: A 63-Year-Old Man with Myelofibrosis
EP: 2.Determining and Addressing Ruxolitinib Failure in Myelofibrosis
EP: 3.Treatment Sequencing in Myelofibrosis
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EP: 4.Monitoring Therapeutic Response in Patients With Myelofibrosis
EP: 5.Pacritinib for Patients With Myelofibrosis
EP: 6.Balancing Toxicity Concerns with Achieving Adequate Response in Myelofibrosis
EP: 7.Emerging JAK Inhibitors for Patients With Myelofibrosis
EP: 8.Perspectives on the Future on Myelofibrosis Treatment
Case: A 63-Year-Old Man with Myelofibrosis
Clinical Presentation:
- A 63-year-old man recently diagnosed with primary MF and initiated on 10 mg BID ruxolitinib.
- PMH: type 2 diabetes, hypercholesteremia, and hypertension, squamous cell carcinoma (SCC)
Follow up and Clinical Workup at 3 Months:
- Exam: night sweats improved.
- Labs: Hb 7.8 g/dL; Plt 80 x 109/L (previously 135k) stabilized.
- Some spleen reduction.
- Patient receives ~1 unit RBC per month.
Follow up and Clinical Workup at 6 Months:
- Patient reports complaints of fatigue and abdominal pain.
- Labs: Plt 55 x 109/L; Hgb 6.8 g/dL
- Patient now receives 2 units RBC per month.
- Experienced recurrence of SCC.
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