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Diagnostic challenges in von Willebrand disease. Report of two cases with emphasis on multimeric and molecular analysis

机译:von Willebrand病的诊断挑战。 两种患者重点对多聚体和分子分析的报告

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摘要

Identification of qualitative variants of von Willebrand disease (VWD) can be a diagnostic challenge because of discrepant results obtained in the multiple laboratory tests available for its appropriate classification. We report two cases of infrequent inherited variants of VWD with unclear preliminary results with the test panel available at the time of first consultation and that were finally diagnosed as a VWD type 2A/IID with a c.8318 G > C, p.Cys2773Ser mutation and a VWD type 2M with c.4225 T > G, p.Val1409Phe mutation, respectively. The description of these two cases highlights that despite the limited diagnostic panel for the evaluation of von Willebrand Factor (VWF) functionality, the multimeric analysis and genetic family studies were fundamental tools to achieve the final diagnosis.
机译:由于在多个实验室试验中获得的结果不一致,因此识别血管性血友病(VWD)的定性变异可能是一个诊断挑战。我们报告了两例罕见的VWD遗传变异病例,首次会诊时可用的检测小组初步结果不明确,最终诊断为VWD 2A型/IID,分别为c.8318 G>c、p.Cys2773Ser突变和c.4225 T>G、p.Val1409Phe突变的VWD 2M型。这两个病例的描述强调,尽管评估血管性血友病因子(VWF)功能的诊断小组有限,但多聚体分析和基因家族研究是实现最终诊断的基本工具。

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  • 来源
    《Platelets》 |2021年第5期|共4页
  • 作者单位

    Univ Barcelona IDIBAPS Hosp Clin CDB Dept Pathol Hematopathol Hemostasis &

    Eritrop Barcelona;

    Univ Barcelona IDIBAPS Hosp Clin CDB Dept Pathol Hematopathol Hemostasis &

    Eritrop Barcelona;

    Univ Barcelona IDIBAPS Hosp Clin CDB Dept Pathol Hematopathol Hemostasis &

    Eritrop Barcelona;

    Banc Sang &

    Teixits Congenital Coagulopathies Dept Barcelona Spain;

    Univ Autonoma Barcelona VHIR UAB Vall dHebron Res Inst Med Transfus Barcelona Spain;

    Banc Sang &

    Teixits Congenital Coagulopathies Dept Barcelona Spain;

    Banc Sang &

    Teixits Congenital Coagulopathies Dept Barcelona Spain;

    Banc Sang &

    Teixits Congenital Coagulopathies Dept Barcelona Spain;

    Univ Barcelona IDIBAPS Hosp Clin CDB Dept Pathol Hematopathol Hemostasis &

    Eritrop Barcelona;

    Univ Barcelona IDIBAPS Hosp Clin CDB Dept Pathol Hematopathol Hemostasis &

    Eritrop Barcelona;

    Univ Barcelona IDIBAPS Hosp Clin CDB Dept Pathol Hematopathol Hemostasis &

    Eritrop Barcelona;

    Univ Barcelona IDIBAPS Hosp Clin CDB Dept Pathol Hematopathol Hemostasis &

    Eritrop Barcelona;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 基础医学;
  • 关键词

    2A IID; 2M; von Willebrand disease;

    机译:2a iid;2m;von willebrand疾病;

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