Tang, CatherineRabbolini, David J.Morel-Kopp, Marie-ChristineConnor, DavidCrispin, PhilipWard, ChristopherStevenson, William2020-07-202020-07-202475-0379http://hdl.handle.net/1885/206398Germline mutations of runt-related transcription factor-1 (RUNX1) cause famil-ial platelet disorder with predisposition to myeloid malignancy (FPDMM), most commonly associated with thrombocytopenia and propensity to develop myeloid neoplasms. A key clinical question is which patients with a family history of thrombo-cytopenia should undergo genetic testing for RUNX1 mutations. Typically, molecular diagnosis by genetic sequencing is performed when the clinical phenotype is sug-gestive of this diagnosis; however, our understanding of the spectrum of associated features suggestive of this diagnosis continues to evolve. Herein, we report a case se-ries of 3 unrelated families with RU N X1-associated FPDMM and clinical phenotypes not typically reported with this condition. These cases expand our understanding of FPDMM and highlight the complexity of transcriptional regulation of hematopoiesis and its potentially diverse phenotypes. We describe our approach to diagnosis and management of these individuals and the importance of long-term surveillance in these cases.application/pdfen-AU© 2019 The Authors. Research and Practice in Thrombosis and Haemostasis published by Wiley Periodicals, Inc on behalf of International Society on Thrombosis and Haemostasishttps://creativecommons.org/licenses/by-nc-nd/4.0/201910.1002/rth2.122822020-04-12Creative Commons Attribution-NonCommercial-NoDerivs License