Willebrand v.-jürgens disease D68.0

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Angiohemophilia; Hereditary thrombopathy; Pseudohaemophilia

History
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Minot, 1928; von Willebrand, 1926; Jürgens, 1933

Definition
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Autosomal dominant inherited hemorrhagic diathesis with prolonged bleeding time and absence of von Willebrand factor.

Manifestation
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Hemorrhages occur especially in spring and autumn.

Clinical features
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Bleeding of the skin and mucous membranes, petechiae, ecchymoses, hyper- and polymenorrhoea, rarely joint bleeding. Severe bleeding during trauma or surgery.

Laboratory
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Prolongation of bleeding time, level of the Ristocetin co-factor less than 80%. Factor VIII 25-15%; characteristic temporary fluctuations.

Differential diagnosis
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Internal therapy
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  • Desmopressin (Minirin) 0.4 μg/kg bw/day i.v. Control of bleeding time and factor VIII: RCoF increase.
  • In severe cases, factor VIII substitution: RCoF-containing concentrate (e.g. Haemate HS) 20-40 IU/kg bw.

Progression/forecast
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Cheap. Improvement of bleeding tendency after the age of 20.

Literature
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  1. Minot F (1852) On Hemorrhage from the Umbilicus in New-born Infants, with an Analysis of Forty-six Cases. Am J Medical Sciences 24: 310-320
  2. Minot GR (1928) Familial hemorrhagic condition associated with prolongation of bleeding time. Am J Medical Science 175: 301-306
  3. by Willebrand EA (1926) Hereditary pseudohemofili. Finska Läkaresällskapets Handlingar 68: 87-112
  4. by Willebrand EA (1931) About hereditary pseudo-hemophilia. Acta Med Scand 76: 521-550
  5. von Willebrand EA, Jürgens R (1933) About a new hereditary bleeding scourge: constitutional thrombopathy. German archive Klin Med (Leipzig) 175: 453-483
  6. von Willebrand EA, Jürgens R (1933) On a new hemophilia: the constitutional thrombopathy Klin Wochenschr (Berlin) 12: 414-417

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Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020