Making a diagnosis of VWD.

Making a diagnosis of VWD.
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DOI:
10.1182/asheducation-2012.1.161
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发表时间:
2012
期刊:
Hematology. American Society of Hematology. Education Program
影响因子:
--
通讯作者:
Di Paola J
Di Paola J
中科院分区:
其他
文献类型:
--
作者:
Branchford BR;Di Paola J

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对VWD的分子基础的清楚理解可以指导适当的诊断测试的选择和解释。本文简要介绍了VWF的生命周期和分子相互作用,以及它们如何导致目前的临床分类。它还包括粘膜皮肤出血的鉴别诊断和一般检查的简要讨论,各种VWD亚型的审查,以及每个相关的实验室检测,包括基因检测。最后,涵盖了常见的测试陷阱和诊断困境,包括边缘低VWF水平和轻度出血重叠所带来的挑战。
A clear understanding of the molecular basis of VWD can guide the choice and interpretation of appropriate diagnostic tests. This review briefly describes the lifecycle and molecular interactions of VWF and how they lead to the current clinical classification. It also includes a brief discussion of the differential diagnosis and general workup of mucocutaneous bleeding, a review of the various VWD subtypes, and pertinent laboratory assays for each, including genetic tests. Finally, common testing pitfalls and diagnostic dilemmas are covered, including the challenge created by the overlap of borderline low VWF levels and mild bleeding.
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