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April, 2026
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Giulia Simini: Acquired von Willebrand Syndrome and Coagulation Abnormalities in MPN-Associated Thrombocytosis
Apr 8, 2026, 07:32

Giulia Simini: Acquired von Willebrand Syndrome and Coagulation Abnormalities in MPN-Associated Thrombocytosis

Giulia Simini, Resident doctor in Hematology at NHS England, shared a post on LinkedIn about a recent article she and her colleagues co-authored, adding:

“Just published on RPTH!

Acquired von Willebrand syndrome is a often underdiagnosed and misdiagnosed complication of MPNs.

In this cohort of MPN patients with thrombocytosis, 33 percent developed bleeding complications.

However, platelets count alone was not a predictor of bleeding risk.

Interestingly, we found a significant correlation between vWF:RCo/Ag ratio and PT, as well as APTT.

This potentially suggests other coagulation imbalances in patients with MPNs.

One patient was found to have FV deficiency and dysfibrinogenemia.

A tailored approach is essential to assess bleeding risk in this cohort.”

Title: Thrombocytosis and bleeding in myeloproliferative neoplasms: exploring clinical diversity and risk of acquired von Willebrand syndrome—insights from a UK center

Authors: Giulia Simini, Andrew Innes, Saravanan Vinayagam, Golzar Mobayen, Nilanthi Karawitage, Simone Claudiani, Zain Odho, Mike Laffan, Deepa J. Arachchillage

Read the Full Article on RPTH.

Giulia Simini: Acquired von Willebrand Syndrome and Coagulation Abnormalities in MPN-Associated Thrombocytosis

Other posts featuring Giulia Simini on Hemostasis Today.