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Von
Willebrand's disease is a problem involving the body's
ability to form blood clots. Normally, blood clots form in
response to bleeding-and function by stopping the flow of
blood. People with this disease bleed more easily. Von
Willebrand's disease is passed on from parent to child,
affecting male and female alike. Usually, the bleeding
problems are mild. In severe cases, treatment is available
to facilitate normal blood clotting.
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- Nosebleeds, bleeding from their gums, or excessive bleeding during menstruation. Some may have bleeding from the intestine.
- Many have increased bleeding after surgery or after dental work (particularly tooth removal).
- Severe bleeding and spontaneous
bleeding into joints usually do not occur.
- Aspirin use should be avoided, as it worsens bleeding problems.
- Patients who are pregnant or are
taking estrogen will have less bleeding
problems
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- It is due to problems with a specific protein in the blood that helps the body form blood clots. The protein is called vWf -- von Willebrand factor.
- There are several subtypes of von
Willebrand's disease, depending on whether there is too
little vWF protein, or whether it does not work properly.
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- Usually, the blood count is normal.
- The best test is measuring the bleeding time.
- There are tests that directly
measure the amount of vWf and also check to see how well it
works.
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- Bleeding problems are usually mild and no treatment may be needed.
- Aspirin (and other similar drugs) use should be avoided.
- Treatment is needed prior to dental or surgical procedures so that bleeding is not excessive.
- Those with Type I disease can be treated with a medicine called Desmopressin Acetate. This medicine should not be used in patients with Type IIa or IIb disease.
- Those who cannot be treated with Desmopressin may be given vWF intravenously to effect normal clotting.
- Prognosis is excellent. Most
patients can be managed easily, once
diagnosed.
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- Glanzmann's Thrombasthenia
- Bernard-Soulier Syndrome
- Storage Pool Disease
- Hemophilia
- Blood Cancers
- Kidney Failure
- Aspirin or other anti-inflammatory
use
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- Because this disease is inherited, all family members of patients with this disease should see their doctor and be evaluated for this condition.
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