Hereditary erythrocytosis

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Inclusion criteria

  • Unexplained elevated haematocrit (greater than 50%) and HB (greater than 185 g/l in men, greater than 170 g/l in women or above the 95th centile for age in children) with or without pulmonary arterial hypertension or raised erythropoietin levels.

Exclusion criteria

  • Chronic hypoxia that preceded erythrocytosis
  • Acquired JAK2 mutation causing polycythaemia rubra vera
  • Kidney disease (e.g. a renal tumour or cysts) resulting in elevated renal EPO production
  • Abnormal oxygen-haemoglobin dissociation

Prior genetic testing guidance

– Results should have been reviewed for all genetic tests undertaken, including disease-relevant genes in exome sequencing data. The patient is not eligible if they have a molecular diagnosis for their condition.

– Genetic testing should continue according to routine local practice for this phenotype regardless of recruitment to the project; results of these tests must be submitted via the ‘Genetic investigations’ section of the data capture tool to allow comparison of WGS with current standard testing.

PLEASE NOTE: The sensitivity of WGS compared to current diagnostic genetic testing has not yet been established. It is therefore important that tests which are clinically indicated under local standard practice continue to be carried out.

Prior genetic testing genes

Testing of the following genes should be carried out PRIOR TO RECRUITMENT where this is in line with current local practice:

  • VHL

Closing statement

These requirements will be kept under continual review during the main programme and may be subject to change.

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