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Case Studies in Clinical Hemostasis Case Studies in ... - Pathology

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von Willebrand’s Disease<br />

Cl<strong>in</strong>ical Features<br />

! Common hereditary procoagulant disease<br />

! Frequently mild, most cases undiagnosed<br />

! Multiple cl<strong>in</strong>ical variants<br />

! Easy brusis<strong>in</strong>g very common<br />

! Mucosal bleed<strong>in</strong>g (epistaxis, GI bleed<strong>in</strong>g,<br />

menorrhagia) very common<br />

! Prolonged bleed<strong>in</strong>g after surgery or trauma<br />

a<br />

! Bleed<strong>in</strong>g caused by drugs affect<strong>in</strong>g platelet<br />

function<br />

! No history of hemarthroses or <strong>in</strong>tramuscular<br />

hematomas

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