Clotting

von Willebrand disease

The most common congenital clotting disorder, with very different forms of manifestation and a need for accurate diagnosis.

von Willebrand factor

Supports platelet adhesion and stabilization of factor VIII.

Variable symptoms

Manifestations may be mild, moderate or severe, depending on the disease type.

Diagnosis

Confirmation is done through clotting tests and von Willebrand factor measurement.

von Willebrand disease is the most common congenital coagulopathy, transmitted in an autosomal dominant pattern. It is characterized by qualitative or quantitative deficiencies of von Willebrand factor, a glycoprotein essential for platelet adhesion and factor VIII stabilization.

Disease severity

Symptoms vary from minor bleeding to severe hemorrhage; severity differs between families and even within the same family.

Disease diagnosis

Diagnosis is made through clotting tests and von Willebrand factor measurement. Bleeding time, Quick and TPT tests, as well as factor VIII and IX measurements can guide the diagnosis toward hemophilia or von Willebrand disease.

Treatment

Treatment includes replacement therapy and preventive measures, such as avoiding anticoagulant medicines and correctly monitoring bleeding episodes.