PV / ET patient with positive HBV serology, latent TB, or chronic infection — primarily r...
Deterministic view of the source YAML entity. Clinical authority remains with the cited source IDs and reviewer sign-off state.
| ID | RF-PV-ET-INFECTION-SCREENING |
|---|---|
| Type | Red flag |
| Status | reviewed 2026-04-25 | pending_clinical_signoff |
| Diseases | DIS-ET DIS-PV |
| Sources | SRC-ESMO-MPN-2015 SRC-NCCN-MPN-2025 |
Red Flag Origin
| Definition | PV / ET patient with positive HBV serology, latent TB, or chronic infection — primarily relevant if planning ruxolitinib (HBV reactivation; TB reactivation reported) or interferon-α (relative contraindication for active hepatitis without expert co-management) |
|---|---|
| Clinical direction | investigate |
| Category | infection-screening |
Trigger Logic
{
"any_of": [
{
"finding": "hbsag",
"value": "positive"
},
{
"finding": "anti_hbc_total",
"value": "positive"
},
{
"finding": "hcv_rna",
"value": "positive"
},
{
"finding": "latent_tb",
"value": true
},
{
"finding": "active_uncontrolled_infection",
"value": true
}
],
"type": "composite"
}
Notes
Direction "investigate" — workup-prerequisite annotation. HU itself is not strongly immunosuppressive, so infection-screening is mostly a forward-looking concern for ruxolitinib (RESPONSE 2L) or interferon-α (preferred for pregnancy / younger patients). HBV / TB screening before JAKi initiation per NCCN. STUB — requires clinical co-lead signoff.
Used By
Algorithms
ALGO-ET-1L- ALGO-ET-1LALGO-PV-1L- ALGO-PV-1LALGO-PV-2L- ALGO-PV-2L
Indications
IND-ET-2L-ANAGRELIDE- IND-ET-2L-ANAGRELIDEIND-PV-2L-RUXOLITINIB- IND-PV-2L-RUXOLITINIB