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. 2020 Dec 1;13:12367–12382. doi: 10.2147/OTT.S287944

Table 2.

Summary of IWG Criteria for PPV-MF and PET-MF

Post-Polycythemia Vera
Myelofibrosis (PPV-MF)
Post-Essential Thrombocythemia
Myelofibrosis (PET-MF)
Required criteria
  • Prior diagnosis of PV according to WHO criteria.

  • Bone marrow fibrosis ≥ grade 2

  • Prior diagnosis of ET according to WHO criteria.

  • Bone marrow fibrosis ≥ grade 2

Additional criteria (two required)
  • Anemia or loss of phlebotomy requirement

  • Leukoerythroblastosis

  • New splenomegaly or ≥5 cm increase in spleen size

  • Development of at least one constitutional symptoma

  • Anemia and decrease ≥2 g/dL in hemoglobin level

  • Leukoerythroblastosis

  • New splenomegaly or ≥5 cm increase in spleen size

  • Increased LDH

  • Development of at least one constitutional symptoma

Notes: aConstitutional symptoms include > 10% of weight loss in six months, night sweats and unexplained fever (> 37.5 °C). Data from Barosi et al.5

Abbreviations: IWG, International Working Group; WHO, World Health Organization; LDH, lactate dehydrogenase.