Box 2.

The International Union of Angiology’s guidelines on thrombophilia testing

Patients who should be tested for a thrombophilia
  • Patients who have their first VTE under 40 years of age

  • Patients with oestrogen therapy or pregnancy as the sole risk factor for VTE

  • Patients who have their first unprovoked VTE under 60 years of age

  • Patients with recurrent VTE, irrespective of risk factor presence

  • Patients with recurrent superficial vein thrombosis in the absence of varicose veins

  • Patients with VTE at unusual sites under 50 years of age

  • Patients with warfarin-induced skin necrosis and neonates with purpura fulminans not related to sepsis

  • Asymptomatic individuals with symptomatic first-degree relatives who have thrombophilia

  • Adapted from International Union of Angiology 2013.7