[Diagnosis and treatment of polycythaemia vera: state of the art]

Orv Hetil. 2016 Oct;157(44):1743-1751. doi: 10.1556/650.2016.30583.
[Article in Hungarian]

Abstract

Polycythaemia vera (PV), a condition characterized by blood hyperviscosity due to the expansion of the erythrocyte mass is the most common entity among all Philadelphia chromosome-negative myeloproliferative neoplasms. Arterial and venous thrombotic events are leading determinants of morbidity and mortality but impairment of quality of life due to vasomotor symptoms (erythromelalgia, pruritus) and disease-associated symptoms (tiredness, fatigue, pruritus, night sweats, vision problems, headache, concentration loss, abdominal discomfort, early satiety, fever, weight loss) are also present. The review of polycythaemia vera is actual as the updated WHO 2016 classification of myeloid neoplasms has changed the diagnostic criteria and a new second-line treatment option - JAK1/JAK2 inhibitor ruxolitinib - has been approved for patients who had an inadequate response to or are intolerant of hydroxyurea, which represents a breakthrough in the treatment of this patient population. Orv. Hetil., 2016, 157(44), 1743-1751.

Keywords: JAK1/JAK2 gátló ruxolitinib; JAK1/JAK2 inhibitor; Philadelphia-negative myeloproliferative neoplasms; Philadelphia-negatív myeloproliferativ betegség; WHO 2016; WHO 2016 classification; polycythaemia vera; ruxolitinib.

Publication types

  • Review

MeSH terms

  • Anticoagulants / administration & dosage
  • Evidence-Based Medicine
  • Humans
  • Nitriles
  • Platelet Aggregation Inhibitors / administration & dosage
  • Polycythemia Vera / classification*
  • Polycythemia Vera / diagnosis*
  • Polycythemia Vera / drug therapy
  • Pyrazoles / administration & dosage
  • Pyrimidines

Substances

  • Anticoagulants
  • Nitriles
  • Platelet Aggregation Inhibitors
  • Pyrazoles
  • Pyrimidines
  • ruxolitinib