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  Letters to the Editor
 include the retrospective design, and heterogeneity in clinical practice in regard to diagnosis and management.
In summary, we confirm the infrequent (0.5-2.2%) occurrence of genetic alterations involving the hypoxia pathway, EPOR and BPGM among patients undergoing hereditary erythrocytosis evaluation at the Mayo Clinic which includes testing for all congenital mutations except recently described EPO and iron-responsive element binding protein 1 (IRP1) mutations.17,18 Additionally, phe- notypic correlations and management details are provid- ed which may serve as a useful guide for clinicians.
Naseema Gangat,1 Jennifer L. Oliveira,2 Tavanna R Porter,2 James D. Hoyer,2 Aref Al-Kali,1 Mrinal M Patnaik,1 Animesh Pardanani1 and Ayalew Tefferi1
1Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester and 2Division of Hematopathology, Department of Laboratory Medicine, Mayo Clinic, Rochester, MN, USA.
Correspondence:
NASEEMA GANGAT - gangat.naseema@mayo.edu AYALEW TEFFERI - tefferi.ayalew@mayo.edu doi:10.3324/haematol.2021.280516
Received: December 14, 2021.
Accepted: February 2, 2022.
Pre-published: February 10, 2022.
Disclosures: no conflicts of interest to disclose.
Contributions: NG and AT designed the study, collected data, per- formed analyses and wrote the letter; JLO, TRP and JDH reviewed and interpreted all sequencing data; AA, MMP and AP contributed patients.
Data-sharing statement: data can be obtained by email (gangat.naseema@mayo.edu)
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