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PURPOSE OF REVIEW Myeloproliferative neoplasms are traditionally seen in older adults, making them poorly understood in younger patients. Clinical presentation, genetic landscape, outcomes, and best management practices are inadequately described in this group. Over the past decade, more research has focused on younger patients, and this paper seeks to review and describe the current status of the field. RECENT FINDINGS A recent review analyzed the available pediatric MPN literature and highlighted the paucity of published data. Pediatric