von Willebrand Disease “ Vicenza ” With Larger - Than - Normal ( Supranormal ) von

نویسندگان

  • Pier Mannuccio Mannucci
  • Rossana Lombardi
  • Giancarlo Castaman
  • Judith A. Dent
  • Antonella Lattuada
  • Francesco Rodeghiero
چکیده

When normal volunteers or patients with type I von Willebrand disease (VWD) are given desmopressin (DDAVP). a set of larger-than-normal (supranormal) von Willebrand factor (VWF) multimers. similar to those present in VWFcontaining cells such as platelets megakaryocytes and endothelial cells, appear transiently in postinfusion plasma. In two kindreds with mild lifelong bleeding symptoms transmitted as an autosomal dominant trait, all ten symptomatic members (but none of the five asymptomatic members) had a supranormal multimeric structure for plasma VWF. apparently identical to that seen for postdesmopressin normal plasma. Plasma factor VIII coagulant activity (VIll:C). VWF antigen (VWF:Ag). ristocetin-induced platelet agglutination. and ristocetin cofactor (RiCof) activ-

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تاریخ انتشار 2005