Thrombosis in myeloproliferative and myelodysplastic syndromes

Raffaele Landolfi1, Leonardo Di Gennaro

  • 1Catholic University School of Medicine, Institute of Internal Medicine and Geriatrics, Haemostasis Research Center, Largo Agostino Gemelli 8, 00168 Rome, Italy. rlandolfi@rm.unicatt.it

Insights

Myeloproliferative neoplasms (MPNs) and myelodysplastic syndromes (MDS) increase thrombosis risk. This review covers thrombophilia aspects in MPNs and MDS, crucial for understanding patient morbidity and mortality.

Area of Science:

  • Hematology
  • Oncology

Background:

  • Myeloproliferative neoplasms (MPNs) and myelodysplastic syndromes (MDS) are clonal stem cell disorders.
  • Arterial and venous thromboses are primary causes of morbidity and mortality in polycythemia vera and essential thrombocythemia (types of MPNs).
  • Thromboses and hemorrhages complicate MDS natural history, often due to platelet abnormalities and treatment side effects.

Purpose of the Study:

  • To review the main aspects of thrombophilia in myelodysplastic syndromes and myeloproliferative neoplasms.

Main Methods:

  • Literature review focusing on thrombophilia in MPNs and MDS.

Main Results:

  • Thrombosis is a major complication in MPNs and MDS.
  • Platelet quantitative and qualitative anomalies contribute to thrombotic and hemorrhagic risks in MDS.
  • Understanding thrombophilia is key to managing these myeloid disorders.

Conclusions:

  • Thrombophilia is a significant clinical concern in MPNs and MDS.
  • Further research into thrombophilia mechanisms and management is warranted for these myeloid stem cell disorders.

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