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Suggest Treatment For Mucosal Bleeding With Type 3 Von Willebrand Disease

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Posted on Wed, 8 Oct 2014
Question: Von Willebrand Disease Type 3 disease with mucosal bleeding in infant less than 1 year old
doctor
Answered by Dr. Hardik Sanghvi (1 hour later)
Brief Answer:
You need purified human vwf & factor 8.

Detailed Answer:
Hi, dear.
I have gone through your question. I can understand your concern. You have most severe form of vonwillbrand disease. Type 3 suggest total absence of von willebrand factor. Its life threatening conditions you need urgent treatment. You need to treat at specialized hemostasis and thrombosis centre. You should take purified human vwf with factor 8. You need prophylactic treatment also to prevend bleeding. So consult your haematologist and take treatment accordingly.
Hope I have answered your question, if you have doubt then I will be happy to answer.
Thanks for using health care magic.
Wish you a very good health.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Hardik Sanghvi (12 hours later)
Hi there......I was expecting an answer from a hematologist as I've asked for a specialist advise. Can you please direct my question to the appropriate specialist and also go through the reports that were attached to my question

Thanks
doctor
Answered by Dr. Hardik Sanghvi (6 hours later)
Brief Answer:
The child was perfectly treated.

Detailed Answer:
Hi,
I have gone through your question. I am a Hematopathologist and deal with these cases every day.
I can understand your concern. Unfortunately you had not asked any specific queries. You were asking for very general information which is found everywhere. Please post any specific question that you have for the child. If you looking for prognosis, the child will fare well as normal child as long as the immediate bleeding episodes are managed properly. Her medical records should mention about this diagnosis so that future hospital admissions in life are not eventful.

According to the discharge summary the child has severe vwf deficiency. In your condition you have almost complete deficiency of von willebrand factor. The treatment on discharge summary is standard. You should inform the treating hematologist whenever there is bleeding or fever as there is high chance of bleeding. In such a case the child needs Fresh frozen plasma urgently and should go for vwf and factor 8 assay.

The child needs infusion of these factors according to the blood level and weight and age. You should consider prophylactic factor therapy with these factors to prevent bleeding but again it all depends on weight.

Hope I have answered your question, if you have doubt then I will be happy to answer.

Wish you a very good health.
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Hardik Sanghvi

Hematologist

Practicing since :2008

Answered : 7043 Questions

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Suggest Treatment For Mucosal Bleeding With Type 3 Von Willebrand Disease

Brief Answer: You need purified human vwf & factor 8. Detailed Answer: Hi, dear. I have gone through your question. I can understand your concern. You have most severe form of vonwillbrand disease. Type 3 suggest total absence of von willebrand factor. Its life threatening conditions you need urgent treatment. You need to treat at specialized hemostasis and thrombosis centre. You should take purified human vwf with factor 8. You need prophylactic treatment also to prevend bleeding. So consult your haematologist and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.