von Willebrand Disease: Diagnostic Strategies and Treatment Options

Pediatr Clin North Am. 2018 Jun;65(3):527-541. doi: 10.1016/j.pcl.2018.02.004.

Abstract

von Willebrand disease (VWD) is one of the most common inherited bleeding disorders. Since its first description in 1926, the diagnosis and management of VWD has significantly improved due to increasing scientific knowledge of the genetics and biology of von Willebrand factor (VWF). This article reviews the molecular structure and function of VWF as well as the clinical symptoms, laboratory-based diagnostic workup, and classification schema for VWD. It highlights current treatment options and state-of-the art research in VWF and VWD.

Keywords: Mucocutaneous bleeding; von Willebrand disease; von Willebrand factor.

Publication types

  • Review

MeSH terms

  • Blood Coagulation Factors / therapeutic use
  • Deamino Arginine Vasopressin / therapeutic use
  • Hemostatics / therapeutic use
  • Humans
  • von Willebrand Diseases / diagnosis*
  • von Willebrand Diseases / etiology
  • von Willebrand Diseases / therapy*

Substances

  • Blood Coagulation Factors
  • Hemostatics
  • Deamino Arginine Vasopressin