Watch this informative video where Dr. Robert F. Sidonio, Jr. and Dr. Fernando F. Corrales-Medina discuss the challenges of identifying von Willebrand disease (VWD) bleeding symptoms in children, the most common presenting symptoms, the tests that are employed to diagnose the condition and when to use them, the importance of taking a family history, and the role of genotyping in helping to identify which family members may be affected.
VWD is underdiagnosed and challenging to diagnose correctly in children. If there has not been an event that disrupts hemostasis, such as a dental procedure, a surgery, or the onset of menstruation, the condition may be hidden. Because the symptoms of VWD often overlap with common bleeding events in young children, such as nosebleeds, differentiating normal from abnormal bleeding can be quite difficult. Failure to diagnose VWD can expose children to increased bleeding risk when they do undergo common childhood procedures, such as tonsillectomies. Accurate diagnosis of VWD can help care providers prepare for bleeding events and forestall related conditions such as anemia or heavy menstrual bleeding.
Prophylaxis, or regular, proactive factor treatment to help reduce the frequency of bleeds by preventing them before they happen, can help people living with VWD manage their illness and stay ahead of symptoms.
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