Recently diagnosed with Polycythemia Vera

Posted , 15 users are following.

Hi Im new to this forum, Im wondering if there are people here that have PV and still young like me, Im just 21 Years Old. And I didn't fully understand how PV can affect my life..

Thanks

-Paolo

1 like, 27 replies

27 Replies

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  • Posted

    Your English is fine Paolo.

    The exercise should help but don't go too hard too early but the fitter you are the better you'll feel  - i think when you get your HCT down you will start to feel less tired - l work 11/12 hour days at a desk but still walk around 12km's every day and l played basketball every week until l turned 50 and snapped my achilles! Am back playing occasionally at 55 !! l don't smoke but enjoy a beer or two on the weekends - it won't hurt you !

     

    • Posted

      Thanks, my only exercise is going to gym, 2hrs 3x a week, i dont play basketball. I have a bike but no time to use it. I also work on office and sit for the whole days, but still i feel weak everyday after work, is this normal to us? I know Im young and might experience many things because of having PV Im just quite worry about having more serious condition like AML and MF, but know Im doing fine after 2 phlebotomies last month.
    • Posted

      l get tired too but probably would even if l didn't have PRV with my long days. l try to get out for a 10/15 minute walk at lunchtime which wakes me up for the afternoon ahead ! Don't worry about things that "might" happen. Anyone could get "hit by a bus tomorrow" !

      l was a blood donor for 10 years and got diagnosed (luckily) having abnormally high HCT readings through being a donor - unfortuneately our phlebotomies are no use for blood donations which makes me sad - all that iron enriched stuff going to waste ! 

    • Posted

      yes thats true, it sad that our blood has no use now, im a type AB and our blood bank have shortage for it,. maybe all i need is time to let these things sink on me even i dint fully understand it.

      Haha yeah, I know PV can progress to a more dangerous disease but there are so many things that can kill us instantly. now I am not going to worry more. Thanks smile

  • Posted

    Because my doctor told me that I have " JAK2 allelic burden", actually I don't know what's that.

    I recently read  papers about PV disease from the 57th ASH Annual Meeting Exposition (December 5-8, 2015).

    In these papers, there is one conclusion as follows:

    Continuous reduction of the JAK2 allelic burden indicates that new treatment rather than the absolute dose level is an important variable inducing molecular responses.

    Although I still don't understand the JAK2 allelic burden, I still believe we can further knock the down PV disease.

    • Posted

      Hi Paolo, there is a paper for reference as follow:

      Blood. 2014 Mar 6; 123(10): 1544–1551.

      In the World Health Organization (WHO) classification of tumors of hematopoietic and lymphoid tissues, Philadelphia-negative myeloproliferative neoplasms (MPNs) include polycythemia vera (PV), essential thrombocythemia (ET), and primary myelofibrosis (PMF).1 These disorders have overlapping clinical features and a common molecular basis. In fact, three-quarters of these patients carry the unique JAK2 (V617F) mutation,2,3 which is present in about 95% of subjects with PV and in about 60% of those with ET or PMF.4 Somatic mutations of JAK2 exon 12 are found in the remaining 5% of patients with PV,5 whereas mutations of MPL exon 10 are present in about 5% of those with ET or PMF.6 We and others recently found that most patients with ET or PMF with nonmutated JAK2 and MPL carry a somatic mutation of CALR, the gene encoding calreticulin.7,8

      I think you have JAK2 allele burden possibly! 

       

  • Posted

    I am still gathering information as I wait on results on my bone marrow biopsy and aspiration. My red count was elevated and my physician sent me to an oncologist. My 30 year old son had AML so I think that was a red flag.

    The oncologist wasn't concerned until I mentioned stinging and itching after a warm shower. I had an arterial blood draw it show that I have the JAK2 mutation. They did the BMB on Friday. 

    I've started a mild baby aspirin daily. I am 62 but very active, otherwise heathy, and I'm an elementary principal. 

    Thnk you all for being transparent. I have much to learn. 

    • Posted

      Hi Ellie,

      From what you explain your symptoms do suggest that you have PV, but nevertheless your test results will decide the matter.  Aspirin is to thin the blood to prevent blood clots from forming.  If you care to look at the lower right-hand side of this page you will notice references to Polycythemia Vera and to click on and this will avail you of quite a bit of useful information on this disorder.  It is not unusual to be diagnosed with this later in life but it is generally accepted that this is with you from birth caused by a defect in the JAK2 gene.  It does not  normally identify itself until later in life when symptoms are first noticed.  Your treatment will ultimately be decided from your test results but this does not necessarily say they will be the same as other patients.  Each patient is dealt with individually and the treatment prescribed by your medic once the results are concluded.

      PV is a very varied disorder for which different treatments are available and will need ongoing supervision by your doctors.  Don't try to overwhelm yourself with many details but just take things as they come and don't forget to put any queries you may have to your specialists.  Carefully controlled there is no reason why you should not maintain a full life and activity level.  See what your test results come up with and take it from there.

      You will find plenty of answers to help from this forum.  Good luck.

      Peter.

  • Posted

    I'm 19 and have PV. I recently had a baby as well,

    • Posted

      Hi Amy,

      PV is not an inherited disease as far as is known, neither is it transferrable between people.  The disease is caused by a defect in the JAK2 gene at birth.  There is no way that you could have known about it and neither could you have prevented it.  It is sad that you are quite young to have been diagnosed with this disease.  More generally PV symptoms are not recognised until later in life when most patients seem to be diagnosed and subsequently treated.  It is a progressive disorder and will need professional medical supervision for you to stay comfortable.  There is no reason why you should not have a long life if you look after yourself and obtain the help of a haematologist.  PV is caused by the blood making too many red cells which will affect the body system.  It is treatable but not curable yet except perhaps by stem-cell treatment which is serious and needs long-term medical assistance.  This treatment is not usually advised for older patients and not readily considered in younger patients.  Your haematologist can answer any queries you may have and will most certainly be happy to do so.  You will learn much about PV (one of the group of MPN diseases) as time passes

      and I am certain that others on this forum will be able to advise further where necessary.  There is no reason to suspect that your baby would be suffering this illness.  Good luck for the future.

      Peter. 

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