Guest guest Posted March 28, 2011 Report Share Posted March 28, 2011 Looking for advice from someone with more hematology experience/knowledge than me. I have an 18 yo whose father was diagnosed with von Willebrand’s disease. Back in 2004, I did a von Willebrand Factor A which came back at 18% (normal being 50-150) so I diagnosed her with von Willebrand’s. Now, she needs her wisdom teeth extracted and mother thought she might need pretreatment as father got DDAVP before sinus surgery (IV). So I decided to do a more comprehensive work-up. PTT 38.5 (23.7-37.7) Factor VIII Activity 31% (50-150) Von Willebrand Factor Activity 52% (50-150) vWF Antigen 51% (50-150) vWF Collagen Binding Activity 44% (50-150) vWF Collagen Binding 0.9 ratio (0.6-5.0) VWF Miltimers – normal pattern which can be seen in normal or 1 VW Disease. So my interpretation is she has mild VW or just low VW disease, most likely Type 1 and she should be low risk. I don’t know what Type her father was diagnosed with. The problem is that she has a Medicaid HMO product for insurance and I have no idea how I would even get her to a hematologist. Kathy Saradarian, MD Branchville, NJ www.qualityfamilypractice.com Solo 4/03, Practicing since 9/90 Practice Partner 5/03 Low staffing CyberDefender has scanned this email for potential threats. Version 2.0 / Build 4.03.29.01 Get free PC security at http://www.cyberdefender.com Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.