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Mayo Test ID REVE0 Erythrocytosis Summary Interpretation

Useful For

Incorporating and summarizing subsequent results into an overall interpretation for the REVE2 / Erythrocytosis Evaluation, Blood

Testing Algorithm

When 1 or more molecular tests are added to the REVE2 / Erythrocytosis Evaluation, Blood, then this test is also added as consultative interpretation that summarizes the testing performed as well as any pertinent clinical information. This summary is in addition to interpretations that may be provided for each component. This will be provided after additional testing is complete in order to incorporate subsequent results into an overall evaluation.

Method Name

Only orderable as a reflex. For more information see REVE2 / Erythrocytosis Evaluation, Blood.

 

Medical Interpretation

Reporting Name

Erythrocytosis Summary Interp

Specimen Type

Whole Blood EDTA

Specimen Stability Information

Specimen Type Temperature Time Special Container
Whole Blood EDTA Refrigerated

Clinical Information

The etiology of congenital (inherited) erythrocytosis can be due to one of several abnormalities. This includes high oxygen affinity hemoglobin variants, genetic variants in the erythropoietin receptor gene, genetic variants in the genes involved in the oxygen-sensing pathway (PHD2/EGLN1, HIF2A/EPAS1, VHL) or BPGM variants causing 2,3-BPG (2,3-bisphosphoglycerate) deficiency. To determine the underlying abnormality frequently requires molecular testing. A summary interpretation that incorporates all testing performed is beneficial to the ordering clinician.

Reference Values

Only orderable as a reflex. For more information see REVE2 / Erythrocytosis Evaluation, Blood.

 

An interpretive report will be provided.

Interpretation

An interpretive report will be provided that summarizes all testing as well as any pertinent clinical information.

Cautions

No significant cautionary statements

Clinical Reference

1. Patnaik MM, Tefferi A. The complete evaluation of erythrocytosis: congenital and acquired. Leukemia. 2009;23(5):834-844

2. Percy MJ, Lee FS. Familial erythrocytosis: molecular links to red blood cell control. Haematologica. 2008;93(7):963-967

3. Maran J, Prchal J. Polycythemia and oxygen sensing. Pathol Biol (Paris). 2004;52(5):280-284

4. Merchant SH, Oliveira JL, Hoyer JD, Viswanatha DS. Erythrocytosis. In: His ED, ed. Hematopathology. 2nd ed. Elsevier Saunders; 2012:722-723

5. Harteveld CL, Higgs DR. Alpha-thalassemia. Orphanet J Rare Dis. 2010;5:13

6. Thein SL. The molecular basis of beta-thalassemia. Cold Spring Harb Persepct Med. 2013 1;3(5):a011700

7. Crowley MA, Mollan TL, Abdulmalik OY, et al. A hemoglobin variant associated with neonatal cyanosis and anemia. N Engl J Med. 2011;364(19):1837-1843

8. Kipp BR, Roellinger SE, Lundquist PA, Highsmith WE, Dawson DB. Development and clinical implementation of a combination deletion PCR and multiplex ligation-dependent probe amplification assay for detecting deletions involving the human alpha-globin gene cluster. J Mol Diagn. 2011;13(5):549-557. doi:10.1016/j.jmoldx.2011.04.001

9. Hein MS, Oliveira JL, Swanson KC, et al. Large deletions involving the beta globin gene complex: genotype-phenotype correlation of 119 cases. Blood. 2015;126:3374

Method Description

A hematopathologist evaluates all results from the testing performed, and a summary interpretation is provided.

Specimen Retention Time

28 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Test Classification

Not Applicable

LOINC Code Information

Test ID Test Order Name Order LOINC Value
REVE0 Erythrocytosis Summary Interp 59465-5

 

Result ID Test Result Name Result LOINC Value
608094 Erythrocytosis Summary Interp 59465-5
608116 Reviewed By 18771-6

Day(s) Performed

Monday through Friday

Report Available

3 to 25 days