This concept has been described already for systemic inflammation and sepsis,49, 50, 51, 52, 53, 54 DIC,55, 56 severe dengue fever,57 and after the infusion of desmopressin.58 Further research is needed to either consolidate or reject the hypothesis that the ADAMTS‐13/VWF ratio is superior to either factor for predicting VTE and survival in cancer patients. The gene discussed is ADAMTS13; the disease is dengue disease.