July 16, 2018


June 2016

  • A 72-year old male presents to his primary care physician with fatigue, abdominal pain lasting 3 months, and night sweats
  • PMH includes depression and gout
  • Physical Exam: BP, 155/85; spleen palpable 6 cm below costal margin
  • Laboratory values:
    • Hb= 9.8 g/L
    • HCT= 38%
    • WBC= 22.3 x109/L
    • Platelets= 255 x109/L
  • Bone marrow biopsy:
    • Megakaryocytic proliferation and atypia with evidence of reticulin fibrosis
  • Blood smear showed leukoerythroblastosis
  • Genetic testing showsJAK2 V617Fmutation
  • Diagnosis: Primary myelofibrosis