[Polycythemia vera developed after a major molecular response to imatinib mesylate treatment in a patient with chronic myelogenous leukemia]

Rinsho Ketsueki. 2014 Mar;55(3):360-5.
[Article in Japanese]

Abstract

A 68-year-old man complained of dizziness and was referred to our hospital by his primary physician for evaluation of an elevated leukocyte count. In April 2002, soon after the chronic phase of chronic myeloid leukemia had been diagnosed, he was treated with imatinib. In March 2010, imatinib treatment was completed and the BCR/ABL fusion gene had become undetectable by real time quantitative PCR. Subsequently, leukocyte counts and the hematocrit gradually rose. In August 2012, a bone marrow aspirate showed hypercellular marrow with marked erythroid hyperplasia and the presence of the JAK2 gene V617F mutation. He was diagnosed with polycythemia vera. Phlebotomy and chemotherapy were started in addition to imatinib administration. Shortly thereafter complete blood counts returned to normal levels.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Benzamides / therapeutic use*
  • Fusion Proteins, bcr-abl / genetics
  • Hematocrit
  • Humans
  • Imatinib Mesylate
  • Janus Kinase 2 / genetics
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / blood
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / drug therapy*
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / genetics*
  • Leukocyte Count
  • Male
  • Mutation
  • Phlebotomy
  • Piperazines / therapeutic use*
  • Polycythemia Vera / blood
  • Polycythemia Vera / diagnosis
  • Polycythemia Vera / etiology*
  • Polycythemia Vera / therapy
  • Pyrimidines / therapeutic use*
  • Real-Time Polymerase Chain Reaction
  • Remission Induction

Substances

  • Benzamides
  • Piperazines
  • Pyrimidines
  • Imatinib Mesylate
  • Fusion Proteins, bcr-abl
  • JAK2 protein, human
  • Janus Kinase 2