raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:824

Primary myelofibrosis

Synonyms: Agnogenic myeloid metaplasia · Idiopathic myelofibrosis · Myelofibrosis with myeloid metaplasia · Osteomyelofibrosis

Type
Disease
Group
Disorder
Inheritance
Not applicable
Age of onset
Adult
Status
active

A rare myeloproliferative neoplasm characterized by stem-cell derived clonal over proliferation of mature myeloid lineages, such as erythrocytes, leukocytes, and megakaryocytes, with variable degrees of megakaryocyte atypia, associated with reticulin and/or collagen bone marrow fibrosis, osteosclerosis, ineffective erythropoiesis, angiogenesis, extramedullary hematopoiesis, and abnormal cytokine expression.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPrimary myelofibrosisAgnogenic myeloid metaplasia · Idiopathic myelofibrosis · Myelofibrosis with myeloid metaplasia · Osteomyelofibrosis
frMyélofibrose primaireMyélofibrose idiopathique · Myélofibrose primitive · Myélosclérose avec métaplasie myéloïde · Osteomyélofibrose
dePrimäre MyelofibroseAgnogenische myeloide Metaplasie · Myelofibrose mit myeloischer Metaplasie · Myelofibrose, idiopathische · Osteomyelofibrose · PMF
esMielofibrosis primariaMetaplasia mieloide agnogénica · Mielofibrosis con metaplasia mieloide · Mielofibrosis idiopática · Osteomielofibrosis
itMielofibrosi primitivaMielosclerosi con metaplasia mieloide · Metaplasia mieloide agnogenica · Mielofibrosi con metaplasia mieloide · Mielofibrosi idiopatica
nlPrimaire myelofibroseAgnogene myeloïde metaplasie · Idiopathische myelofibrose · Myelofibrose met myeloïde metaplasie · Myelosclerose met myeloïde metaplasie · Osteomyelofibrose
ptMielofibrose com metaplasia mielóideMielofibrose idiopática
plMielofibroza z metaplazją szpikuAgnogenic myeloid metaplasia · Mielofibroza idiopatyczna · Mielofibroza pierwotna · Mieloskleroza z metaplazją szpiku
csMyelofibróza s myeloidní metapláziíAgnogenní myeloidní metaplázie · Idiopatická myelofibróza · Myeloskleróza s myeloidní metaplázií · Primární myelofibróza
ukПервинний мієлофіброзАгногенна мієлоїдна метаплазія · Ідіопатичний мієлофіброз · Мієлофіброз з мієлоїдною метаплазією · Остеомієлофіброз
zh原发性骨髓纤维化骨髓纤维化伴髓样化生
trPrimer miyelofibrozOsteomiyelofibroz · İdiyopatik miyelofibroz · Agnojenik miyeloid metaplazi · Miyeloid metaplazili miyelofibroz

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM254450Evalidated
ICD-10D47.4NTBTinclusionvalidated
ICD-112A20.2Especificvalidated
MONDO0009692Evalidated
MeSHD055728Evalidated
UMLSC0001815Evalidated
GARD8618Evalidated
MedDRA10077161Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

4

Genes

4 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CALRDisease-causing somatic mutation(s) inAssessedHGNC:1455ENSG0000017921810909119p13.13calreticulin24325256[PMID]_24325359[PMID]
JAK2Disease-causing somatic mutation(s) inAssessedHGNC:6192ENSG000000969681477969p24.1Janus kinase 2
MPLDisease-causing somatic mutation(s) inAssessedHGNC:7217ENSG000001174001595301p34.2MPL proto-oncogene, thrombopoietin receptor16834459[PMID]_16868251[PMID]
TET2Disease-causing somatic mutation(s) inAssessedHGNC:25941ENSG000001687696128394q24tet methylcytosine dioxygenase 219557078[PMID]_19262601[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Annual incidence1-9 / 100 0001 / 100 000EuropeValue and classValidated[EXPERT]
Point prevalence1-9 / 100 0003 / 100 000EuropeValue and classValidatedEuropean Medicines Agency[OTHER]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

36 annotations · validated 2019-05-02
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0005561Abnormality of bone marrow cell morphology
Frequent (79-30%)
HP:0012143Abnormal megakaryocyte morphology
HP:0001871Abnormality of blood and blood-forming tissues
HP:0001903Anemia
HP:0025142Constitutional symptom
HP:0012378Fatigue
HP:0002240Hepatomegaly
HP:0001433Hepatosplenomegaly
HP:0000980Pallor
HP:0001744SplenomegalyDiagnostic criterion
HP:0001873Thrombocytopenia
Occasional (29-5%)
HP:0001892Abnormal bleeding
HP:0001977Abnormal thrombosis
HP:0002039Anorexia
HP:0004420Arterial thrombosis
HP:0031020Bone marrow hypercellularity
HP:0003388Easy fatigability
HP:0031364Ecchymosis
HP:0001978Extramedullary hematopoiesis
HP:0001945Fever
HP:0030157Flank pain
HP:0001974Increased total leukocyte count
HP:0011134Low-grade fever
HP:0002716Lymphadenopathy
HP:0001876Pancytopenia
HP:0000967Petechiae
HP:0004447Poikilocytosis
HP:0001409Portal hypertension
HP:0000979Purpura
HP:0001894Thrombocytosis
HP:0004936Venous thrombosis
Very rare (<4-1%)
HP:0004326Cachexia
HP:0001028Hemangioma
HP:0004377Hematological neoplasm
HP:0025435Increased circulating lactate dehydrogenase concentration
Excluded (0%)
HP:0030057Autoimmune antibody positivity

Run the differential on the 1 obligate / very frequent terms

Annotation source: 30683837[PMID]_30805227[PMID]_27830539[PMID]_27870387[PMID]_9766805[PMID]_7436463[PMID]

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Sources for this card