Table 3.
Laboratory Pattern in Von Willebrand Disease
Laboratory Assay | Type 1 | Type 2A | Type 2B | Type 2M | Type 2N | Type 3 |
---|---|---|---|---|---|---|
APTT | Prolonged or normal | Prolonged or normal | Normal or prolonged | Normal or prolonged | Prolonged or normal | Prolonged |
Platelet count | Normal | Normal | Low or normal | Normal | Normal | Normal |
PFA-100 (closure time; CT) | Prolonged or normal | Prolonged, no closure | Prolonged, no closure | Prolonged, no closure | Normal | Prolonged, no closure |
FVIII:C | Low or normal | Low or normal | Low or normal | Normal or low | Low | Low (<10 U/dL) |
VWF:Ag | Low (<50 U/dL) | Low or normal | Low or normal | Normal or low | Normal or low | Very low (<3 U/dL) |
VWF:RCo VWF:GPIbR VWF:GPIbM |
Low,rarely normal | Low (<30 U/dL) | Low,rarely normal | Low or normal | Normal or low | Very low (<3 IU/dL) |
VWF:CB | Low,rarely normal | Very low (<15 U/dL) | Low (<40 U/dL) | Low or normal | Normal or low | Very low (<3 U/dL) |
VWF:RCo/VWF:Ag ratio | Normal (>0.7) | Low (<0.7) | Low (<0.7) | Low or normal | Normal (>0.7) | Variable |
RIPA using patient platelets | Reduced or normal | Reduced or normal | Increased | Reduced or normal | Normal | Absent |
VWF multimer pattern | Normal pattern, VWF reduced | Large to intermediate multimers lacking | Large multimers missing | Normal VWF multimer distribution (but with possible abnormal bands) | Normal | Multimers absent |
VWFpp/VWF:Ag ratio | Normal, Increased in type 1C | Normal or increased | Increased | Normal | Normal | Absent |
Abbreviations: APTT, activated partial thromboplastin time; FVIII:C, factor VIII coagulant; VWF:Ag, VWF antigen; VWF:RCo, VWFristocetin cofactor; VWF:GPIbR, VWF recombinant GPIbα fragments; VWF:GPIbM, VWF recombinant GPIbα fragments with two mutations; VWF:CB, VWF collagen binding; RIPA, ristocetin-induced platelet agglutination; VWFpp, VWF propeptide.