Article Category: Clinical report
Published Online: Jan 31, 2017
Page range: 697 - 700
DOI: https://doi.org/10.5372/1905-7415.0905.443
Keywords
© 2015 Pravinwan Thungthong, Supat Chamnanchanunt, Tawatchai Suwanban, Chajchawan Nakhakes, Kunapa Iam-arunthai
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
Background
A Janus kinase 2 (JAK2) mutation polycythemia vera (PV) is a common manifestation of stem cell disorder. However, available data on the clinical and treatment response of JAK2-negative PV patients are limited.
Objectives
We report the case and clinical course of a patient with PV and left hemiparesis who was JAK2V617-negative.
Methods
We conducted a literature review and compared our patient with previously published reports of JAK2-negative patients with P V.
Results
Our patient presented with hemiparesis without a previous history of hematological disease. He was diagnosed with PV based on the British Committee for Standards in Haematology guidelines 2007. He underwent only phlebotomy with subsequent improvement of his neurological condition. He was discharged with therapeutic phlebotomy for one and a half months.
Conclusions
Although this rare condition required complex diagnostic criteria, the patient achieved good clinical outcome with therapeutic phlebotomy alone.