Von Willebrand disease history and symptoms: Difference between revisions

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==Overview==
==Overview==


Adults patients with vWD mainly present with bleeding after surgery (example bleeding after dental extraction/surgery), mucosa-associated bleeding, [[menorrhagia|Heavy menstrual periods]] and [[postpartum hemorrhage|postpartum hemorrhage]]. Severe [[internal bleeding|internal]] or [[hemarthrosis|joint bleeding]] is rare.
Patients with von Willebrand’s disease present with history of [[Mucosal bleeding|mucosal bleeding,]] recurrent nose bleeds, [[Oral cavity|oral cavity bleeding]], and positive family history of similer symptoms among other family members. Adults patients with vWD mainly present with bleeding after [[Extraction (dental)|dental extraction]]/ or other surgery. [[menorrhagia|Heavy menstrual periods]] and [[postpartum hemorrhage|postpartum hemorrhage]] are common among affected females with von Willebrand’s disease. Severe [[internal bleeding|internal]] or [[hemarthrosis|joint bleeding]] can occur but is usually rare.


==Symptoms==
==Symptoms==
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=== History ===
=== History ===
Patients with von Willebrand’s disease may have a positive history of:<ref name="pmid18315614">{{cite journal| author=Nichols WL, Hultin MB, James AH, Manco-Johnson MJ, Montgomery RR, Ortel TL et al.| title=von Willebrand disease (VWD): evidence-based diagnosis and management guidelines, the National Heart, Lung, and Blood Institute (NHLBI) Expert Panel report (USA). | journal=Haemophilia | year= 2008 | volume= 14 | issue= 2 | pages= 171-232 | pmid=18315614 | doi=10.1111/j.1365-2516.2007.01643.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18315614  }} </ref>
Patients with von Willebrand’s disease may have a positive history of:<ref name="pmid18315614">{{cite journal| author=Nichols WL, Hultin MB, James AH, Manco-Johnson MJ, Montgomery RR, Ortel TL et al.| title=von Willebrand disease (VWD): evidence-based diagnosis and management guidelines, the National Heart, Lung, and Blood Institute (NHLBI) Expert Panel report (USA). | journal=Haemophilia | year= 2008 | volume= 14 | issue= 2 | pages= 171-232 | pmid=18315614 | doi=10.1111/j.1365-2516.2007.01643.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18315614  }} </ref>
* Bleeding
* Personal bleeding
* Family history of bleeding
* Family history of bleeding
* Bruising without obvious trauma
* [[Bruising]] without obvious [[trauma]]
* Recurrent nose bleeds  
* Recurrent nose bleeds  
* Oral cavity bleeding  
* Oral cavity bleeding  
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=== Common Symptoms ===
=== Common Symptoms ===
Common symptoms of von Willebrand’s disease include:
Common symptoms of von Willebrand’s disease include:<ref name="pmid30046704">{{cite journal |vauthors=Keesler DA, Flood VH |title=Current issues in diagnosis and treatment of von Willebrand disease |journal=Res Pract Thromb Haemost |volume=2 |issue=1 |pages=34–41 |date=January 2018 |pmid=30046704 |pmc=5974913 |doi=10.1002/rth2.12064 |url=}}</ref>
* Easy [[bruising]]
* Easy [[bruising]]
*[[Epistaxis|Nosebleeds]]
*[[Epistaxis|Nosebleeds]]
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=== Less Common Symptoms ===
=== Less Common Symptoms ===
Less common symptoms of von Willebrand’s disease include
Less common symptoms of von Willebrand’s disease include<ref name="pmid29878657">{{cite journal |vauthors=Leebeek FWG, Susen S |title=Von Willebrand disease: Clinical conundrums |journal=Haemophilia |volume=24 Suppl 6 |issue= |pages=37–43 |date=May 2018 |pmid=29878657 |doi=10.1111/hae.13508 |url=}}</ref>
* Severe [[internal bleeding|internal]] [[hemarthrosis|bleeding]]  
* Severe [[internal bleeding|internal]] [[hemarthrosis|bleeding]]  
* [[hemarthrosis|Joint bleeding]]  
* [[hemarthrosis|Joint bleeding]]  

Revision as of 16:59, 31 August 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Prince Tano Djan, BSc, MBChB [2]

Overview

Patients with von Willebrand’s disease present with history of mucosal bleeding, recurrent nose bleeds, oral cavity bleeding, and positive family history of similer symptoms among other family members. Adults patients with vWD mainly present with bleeding after dental extraction/ or other surgery. Heavy menstrual periods and postpartum hemorrhage are common among affected females with von Willebrand’s disease. Severe internal or joint bleeding can occur but is usually rare.

Symptoms

History

Patients with von Willebrand’s disease may have a positive history of:[1]

  • Personal bleeding
  • Family history of bleeding
  • Bruising without obvious trauma
  • Recurrent nose bleeds
  • Oral cavity bleeding
  • Bleeding from the gums after brushing or flossing teeth
  • Prolonged bleeding following dental cleaning or extractions.

Common Symptoms

Common symptoms of von Willebrand’s disease include:[2]

Less Common Symptoms

Less common symptoms of von Willebrand’s disease include[3]

References

  1. Nichols WL, Hultin MB, James AH, Manco-Johnson MJ, Montgomery RR, Ortel TL; et al. (2008). "von Willebrand disease (VWD): evidence-based diagnosis and management guidelines, the National Heart, Lung, and Blood Institute (NHLBI) Expert Panel report (USA)". Haemophilia. 14 (2): 171–232. doi:10.1111/j.1365-2516.2007.01643.x. PMID 18315614.
  2. Keesler DA, Flood VH (January 2018). "Current issues in diagnosis and treatment of von Willebrand disease". Res Pract Thromb Haemost. 2 (1): 34–41. doi:10.1002/rth2.12064. PMC 5974913. PMID 30046704.
  3. Leebeek F, Susen S (May 2018). "Von Willebrand disease: Clinical conundrums". Haemophilia. 24 Suppl 6: 37–43. doi:10.1111/hae.13508. PMID 29878657. Vancouver style error: initials (help)

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