Reduced von Willebrand factor survival in type Vicenza von Willebrand disease.

@article{Casonato2002ReducedVW,
  title={Reduced von Willebrand factor survival in type Vicenza von Willebrand disease.},
  author={Alessandra Casonato and Elena Pontara and Francesca Sartorello and Maria Grazia Cattini and Maria T Sartori and Roberto Padrini and Antonio Girolami},
  journal={Blood},
  year={2002},
  volume={99 1},
  pages={
          180-4
        }
}
Type Vicenza variant of von Willebrand disease (VWD) is characterized by a low plasma von Willebrand factor (VWF) level and supranormal VWF multimers. Two candidate mutations, G2470A and G3864A at exons 17 and 27, respectively, of the VWF gene were recently reported to be present in this disorder. Four additional families, originating from northeast Italy, with both mutations of type Vicenza VWD are now described. Like the original type Vicenza subjects, they showed a mild bleeding tendency and… 
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The mathematical model by Galvanin et al. was used to explore the kinetic changes in VWF after DDAVP and showed that the release, but especially the proteolysis, of type Vicenza VWF were significantly higher than normal.
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TLDR
As a shorter survival of VWF is wholly responsible for the type Vicenza VWD phenotype, it might be better to classify it as a type 2 VWD (rather than type 1) to emphasise the greater interaction with clearance receptors as a new VWF functional defect.
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The approach to establishing a diagnosis in low VWF patients is detailed and strategies for the management of these patients in the context of elective surgery and pregnancy are discussed.
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Diagnostic Value of Measuring Platelet Von Willebrand Factor in Von Willebrand Disease
TLDR
The findings show that measuring platelet VWF helps to characterize VWD, especially the ambiguous phenotypes, shedding light on the mechanisms underlying the disorder.
New development in von Willebrand disease
  • G. Castaman
  • Medicine, Biology
    Current opinion in hematology
  • 2013
TLDR
Novel evidences provide accurate insights on the mechanisms of the disease and the bleeding risk associated with VWF deficiency or abnormality, the most frequent inherited bleeding disorder that has been the subject of extensive pathophysiological and clinical studies.
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