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Erschienen in: Journal of Thrombosis and Thrombolysis 3/2018

06.02.2018

A rare CALR variant mutation and a review of CALR in essential thrombocythemia

verfasst von: Robert Diep, Ara Metjian

Erschienen in: Journal of Thrombosis and Thrombolysis | Ausgabe 3/2018

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Abstract

Essential thrombocythemia (ET) is an indolent myeloproliferative neoplasm characterized by megakaryocyte hyperplasia, thrombocytosis, thrombotic and hemorrhagic complications, and potential transformation into myelofibrosis and acute myeloid leukemia. The vast majority of cases are driven by a somatic mutation in JAK2, CALR, or MPL. CALR, a gene that codes for the calcium-binding chaperone calreticulin, is the predominant mutation in patients with non-mutated JAK2 essential thrombocythemia, accounting for 20–25% of the overall somatic mutation frequency in ET. In this brief review of ET, we introduce a rare CALR mutation through a case presentation of a 58-year-old man with diffuse pulmonary emboli in the setting of thrombocytosis. We subsequently characterize the main types of CALR mutations and their value in diagnosis and prognosis of disease course, and lastly discuss the current clinical approach to ET.
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Metadaten
Titel
A rare CALR variant mutation and a review of CALR in essential thrombocythemia
verfasst von
Robert Diep
Ara Metjian
Publikationsdatum
06.02.2018
Verlag
Springer US
Erschienen in
Journal of Thrombosis and Thrombolysis / Ausgabe 3/2018
Print ISSN: 0929-5305
Elektronische ISSN: 1573-742X
DOI
https://doi.org/10.1007/s11239-018-1619-0

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