Only proven pathogenic mutations associated with myeloid neoplasms are key to establish the clonal nature of the bone marrow fibrosis. In cases with genetic variants of uncertain meaning, the clinical picture may be required to rule out secondary causes.
Keywords: ASXL1; Sjögren syndrome; autoimmune; bone marrow fibrosis; molecular.
© 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.