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The finding that JAK2V617F mutations are associated with multiple myeloproliferative disorders (MPDs), including polycythemia vera and essential thrombocythemia, has influenced approaches to early diagnosis of Philadelphia chromosome (Ph)– myeloproliferative neoplasms (Nature 2005; 434:1144). Recent studies suggest that these mutations are commonly found in patients who have splanchnic venous thromboses (SVTs), but not in patients who have venous thromboembolism (VTE), and that many SVT patients with the mutations have no other MPD manifestations (Gastroenterology 2006; 130:2031). Should patients who present with venous thrombosis in splanchnic vessels and without overt MPDs be screened for JAK2V617F mutations?
To answer this question, inves…