Informace o publikaci

Changing insights in the diagnosis and classification of autosomal recessive and dominant von Willebrand diseases 1980-2015

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MICHIELS Jan Jacques BATOROVA Angelika PRIGANCOVA Tatiana SMEJKAL Petr PENKA Miroslav VANGENECHTEN Inge GADISSEUR Alain

Rok publikování 2016
Druh Článek v odborném periodiku
Časopis / Zdroj World Journal of Hematology
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
Doi http://dx.doi.org/10.5315/wjh.v5.i3.61
Obor Onkologie a hematologie
Klíčová slova von Willebrand disease; von Willebrand factor; ADAMTS13; DDAVP; von Willebrand factor assays; von Willebrand factor multimers; von Willebrand factor mutations
Popis The European Clinical Laboratory and Molecular (ECLM) criteria define 10 distinct Willebrand diseases (VWD): recessive type 3, severe 1, 2C and 2N; dominant VWD type 1 secretion/clearance defect, 2A, 2B, 2E, 2M and 2D; and mild type 1 VWD (usually carriers of recessive VWD). Recessive severe 1 and 2C VWD are characterized by secretion and multimerization defects caused by mutations in the D1-D2 domain. Recessive 2N VWD is a mild hemophilia due to D´-FVlH-von Willebrand factor (VWF) binding site mutations. Dominant 2E VWD caused by heterozygous missense mutations in the D3 domain is featured by a secretion-clearance-multimerization VWF defect. Dominant VWD type 2M due to loss of function mutations in the Al domain is characterized by decreased ristocetin-induced platelet aggregation and VWF:RCo, normal VWF multimers and VWF:CB, a poor response of VWF:RCo and good response of VWF:CB to desmopressin (DDAVP).

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