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Use of Hematopoietic Stem Cell Transplantation to Assess the Origin of Myelodysplastic Syndrome
Published on: October 3, 2018
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
Abstract:
Myeloproliferative neoplasms (MPNs) and myelodisplastic syndromes (MDs) are clonal disorders caused by mutations of myeloid stem cells. Among MPNs, polycythemia vera and essential thrombocythemia are relatively benign disorders in which arterial and venous thromboses represent the main cause of morbidity and mortality. The natural history of MDs is often complicated by both thromboses and haemorrhages, mainly due to platelet quantitative and quantitative anomalies, as well as to treatment complications. In this short review, we focus the attention on the main aspects of thrombophilia in both disorders.
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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