When should a Janus kinase 2 (JAK2) V617F mutation test be ordered in an adult with unexplained erythrocytosis, thrombocytosis, leukocytosis, splenomegaly, or symptoms suggestive of polycythemia vera, essential thrombocythemia, primary myelofibrosis, or unexplained splanchnic‑vein thrombosis/Budd‑Chiari syndrome?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: February 19, 2026View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Related Questions

What is the JAK2 mutation assay?
When is testing for JAK2 (Janus Kinase 2) mutations recommended to support a diagnosis?
What are the steps to order JAK2 (Janus Kinase 2) mutation testing?
Is it appropriate for a primary care provider to order JAK2 (Janus Kinase 2) mutation testing in patients with suspected myeloproliferative neoplasms?
What are the clinical indications and uses of the JAK2 (Janus kinase 2) assay?
Is nebulized tranexamic acid contraindicated in a patient with an active pulmonary embolism?
In an adult febrile neutropenic patient (absolute neutrophil count <500 cells/µL) undergoing chemotherapy, how many days should levofloxacin be administered?
What do target cells on a peripheral blood smear indicate and how should they be evaluated and managed in a patient with anemia?
What are the standard dosing, schedules, major toxicities, and alternative options for the following adult solid‑tumor regimens: cisplatin + 5‑fluorouracil (3 cycles); cisplatin + paclitaxel (3 cycles); nimotuzumab (anti‑EGFR monoclonal antibody) + carboplatin + gemcitabine (1 cycle); gemcitabine (1 cycle); gemcitabine + carboplatin + Theracim (1 cycle); gemcitabine + carboplatin (cycle 2B); nimotuzumab + carboplatin (4 cycles); paclitaxel + tislelizumab (PD‑1 inhibitor) (6 cycles); and tislelizumab (4 cycles)?
What are the clinical indications and uses of the JAK2 (Janus kinase 2) assay?
How should recurrent pregnancy loss (two or more consecutive miscarriages) be evaluated and managed?

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.