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Therapeutic consequences for misdiagnosis of type 2N von Willebrand disease. Pediatr Blood Cancer 2011 Dec 01;57(6):1081-3

Date

03/23/2011

Pubmed ID

21425451

DOI

10.1002/pbc.23120

Scopus ID

2-s2.0-80052680438 (requires institutional sign-in at Scopus site)   19 Citations

Abstract

Patients presenting with a low FVIII:C and with normal VWF levels are usually presumed to have hemophilia (males) or be carriers for hemophilia (females). Some of these patients may instead have VWD:2N. Such patients if misdiagnosed are likely to suffer from insufficiently treated bleeds. We report 2 males and 1 female who presented with a low FVIII:C (1-21%) and minimally reduced/normal VWF and were assumed to have, or be a carrier for, hemophilia A. Eventually all were found to have VWD:2N. Prior to the correct diagnosis the males had been treated with rFVIII with poor responses and ultimately adverse clinical consequences.

Author List

Gupta M, Lillicrap D, Stain AM, Friedman KD, Carcao MD

Author

Kenneth D. Friedman MD Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Child
Child, Preschool
Factor VIII
Female
Humans
Male
Recombinant Proteins
von Willebrand Disease, Type 2