Case 143: update 4

Our patient wants to stop hydroxycarbamide side effects. He agrees to switch to ruxolitinib therapy.

His condition is well controlled on this for over a year until one day in clinic he complains of
abdominal discomfort and his blood counts are as follows:

Hb 121 g/L
Hct 43%
MCV 76 fL
Plt 102 x109/L
WCC 3.19 x109/L
Neut 1.03 x109/L
Lymph 1.26 x109/L
Mono 0.70 x109/L
Baso 0.10 x109/L
Eosino 0.00 x109/L

What would you do at this point?

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