vascular hemophilia; vascular pseudohemophilia; von Willebrand disease; von Willebrand disorder; von Willebrand’s-Jurgens’ disease; von Willebrand-Jrgens. The activity of vWF in a patient with von Willebrand disease. Aktywość vWF u pacjenta z chorobą Willebranda. Fig. 4. The activity of vWF in a. Hereditary bleeding disorders, such as von Willebrand disease, may be one of the causes of Choroba von Willebranda u kobiet z krwotocznymi miesiaczkami.

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D ICD – In angiodysplasiaa form of telangiectasia of the colonshear stress is wllebranda higher than in average capillariesand the risk of bleeding is increased concomitantly. Acquired vWD can occur in patients with autoantibodies.

Von Willebrand disease: the most common hereditary haemorrhagic disorder

In more severe cases of type 1 vWD, genetic changes are common within the vWF gene choroga are highly penetrant. Search Bing for all related images. Deficiency of vWF, therefore, shows primarily in organs with extensive small vesselssuch as skingastrointestinal tractand uterus. VWD is a hereditary disease that is passed from parents to pup in a rather complicated way.

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Retrieved 3 December Articles needing additional medical references from November All articles needing additional references Articles requiring reliable medical sources Infobox medical condition new Articles needing additional references from November Articles needing additional medical references from June These subtypes depend on the presence and behavior of the underlying multimers.

Related Topics in Coagulopathy. Testing for factor IX may also be performed if hemophilia B is suspected. Related Bing Images Extra: Inherited Bleeding Disorders in Women P. If you have any questions or concerns, you should always visit or call your veterinarian — they are your best resource to ensure the health and well-being of your pets.


Mice affected by vWD type 3 were produced by genetic engineering to obtain cnoroba small sized model for the human disease.

Von Willebrand’s Disease in Dogs

Type 2 contains various subtypes. Von Willebrand factor antigen vWF: Its overuse can lead to water retention and dilutional hyponatremia with consequent convulsion. Administration of ethinylestradiol diminishes the secretion of luteinizing hormone and follicle-stimulating hormone from the pituitary, leading wiillebranda stabilization of the endometrial surface of the uterus.

The prevalence of vWD is about one in individuals. An acquired form can sometimes result from other medical conditions.

Evaluation Indications Personal or Family History of significant bleeding see symptoms as above and Planned for surgical procedure with moderate to high risk of bleeding or Current bleeding symptoms or abnormal lab results Complete history and examination See Bleeding Disorder Willebrqnda suggestive of Bleeding Diathesis as listed above Medication causes of Bleeding Disorder e.

The three types of hereditary vWD are: Most cases are hereditary, but acquired forms of vWD have been described. It is a large duplication within the vWF gene and causes serious damage to the gene function, so that virtually no vWF protein is produced.

Von Willebrandova choroba

Causal mutations for type 2 were identified in dogs of the breeds German Wirehaired PointerGerman Shorthaired Pointerand Chinese Crested ; and for type 3 in dogs of the breeds KooikerhondjeScottish Terrier and Shetland Sheepdog.

Epidemiology Prevalance estimated at 1. Only small multimer units are detected in the circulation.


The vWF antigen levels are normal. Since the vWF protects coagulation factor VIII from proteolytic degradation, total absence of vWF leads to extremely low factor VIII level, equivalent to that seen in severe hemophilia A with its clinical manifestations of life-threatening external and internal hemorrhages.

Estrogen and progesterone compounds available for use in the correction of menorrhagia are ethinylestradiol and levonorgestrel Levona, Nordette, Lutera, Trivora. The ability of the defective von Willebrand factors to coalesce and form large vWF multimers is impaired, resulting in decreased quantity of large vWF multimers and low RCoF activity.

Canine Von Willebrand’s Disease – Hemophilia in Dogs

This has led to some vWD type 2N patients being misdiagnosed as having hemophilia A. Type 3 is the most severe form of vWD homozygous for the defective gene and is characterized by complete absence of production of vWF. Specialized tests are required to diagnose vWD; specifically, your veterinarian may recommend these tests as part of a preanesthetic screening if your dog is considered at-risk. Blood type can affect the presentation and severity of symptoms of vWD.

This page was last edited on 22 Decemberat Additional laboratory tests that help classify sub-types of vWD include von-willebrand multimer analysis, modified ristocetin induced platelet aggregation assay and vWF propeptide to vWF antigen ratio propeptide.