mutations present in >95% of cases and detectable in peripheral blood leukocytes…
Jak2 mutations
Bone marrow smear morphology and characteristics
–Increase in megakaryocytes AND erythroid precursors…(some overla in pathogenesis of P. vera and ET, but not understood)
–Hypercellular marrow
(b/c meg and erythroid hyperplasia)
Clinical Presentation
Thrombosis!!! hypertension stroke MI (But Remember: Increased RBC's can also be due to lung disease!)
Prognosis
> 10-yr. survival is common
can progress to myelofibrosis, MDS, acute leukemia
Immunophenotype
No known features