Case Report

The Missing LNK: Evolution from Cytosis to Chronic Myelomonocytic Leukemia in a Patient with Multiple Sclerosis and Germline SH2B3 Mutation

Table 1

Germline mutations in SH2B3, previously reported in MPN.

Germline mutation (domain)DiseaseDriver mutationReference

LNK p.E395K (SH2)CMMLNot identifiedPresent case
LNK p.E400K (SH2)MDS/MPN-RS-TSF3B1[10]
LNK p.E208Q (PH)PMFCALR type 1 [11]; not identified [12][11, 12]
LNK p.E208Q (PH)ETJAK2 V617F [11]; not identified [12][11, 12]
LNK p.E208Q (PH)PV (two patients)JAK2 V617F[13]

Polycythemia vera (PV) or essential thrombocythemia (ET) or primary myelofibrosis (PMF) or MDS/MPN with ring sideroblasts and thrombocytosis.