Table 2.

FPD/AML phenotypic criteria

FeatureDetailsLifetime risk
Thrombocytopenia Mild to moderate, normal platelet size and volume, absence of other causes for thrombocytopenia In most patients 
Platelet ultrastructural and/or functional defects Includes platelet alpha or dense granule secretion defects and impaired platelet aggregation (particularly in response to collagen and epinephrine) Unknown 
Hematologic malignancy Most commonly AML or MDS, less frequently T-ALL. There are rare case reports of patients with germline RUNX1 mutations and mixed MPN/MDS such as CMML, as well as case reports of patients with B-cell ALL and hairy-cell leukemia ∼44% 
FeatureDetailsLifetime risk
Thrombocytopenia Mild to moderate, normal platelet size and volume, absence of other causes for thrombocytopenia In most patients 
Platelet ultrastructural and/or functional defects Includes platelet alpha or dense granule secretion defects and impaired platelet aggregation (particularly in response to collagen and epinephrine) Unknown 
Hematologic malignancy Most commonly AML or MDS, less frequently T-ALL. There are rare case reports of patients with germline RUNX1 mutations and mixed MPN/MDS such as CMML, as well as case reports of patients with B-cell ALL and hairy-cell leukemia ∼44% 

CMML, chronic myelomonocytic leukemia; MPN, myeloproliferative syndrome.

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