The FIP1L1::RARA fusion gene was first reported as a novel RARA-associated fusion gene in a 20-month-old child with juvenile myelomonocytic leukemia (JMML), no other mutations in N-Ras, K-Ras, or PTPN11 were detected (8). The gene discussed is RARA; the disease is juvenile myelomonocytic leukemia.