How is vWF disease diagnosed?
The blood tests that a doctor can order to diagnose VWD (or another platelet disorder) include:
- Factor VIII clotting activity―To measure the amount of factor VIII in the blood.
- Von Willebrand factor antigen―To measure the amount of VWF in the blood.
How does ristocetin cofactor assay work?
Ristocetin cofactor assay uses the patient’s platelet poor plasma (with vWF but no platelets) and adds ristocetin and exogenous formalin-fixed platelets which can passively agglutinate (but not actively aggregate, as they are dead).
Is there a genetic test for von Willebrand disease?
Genetic analysis can aid diagnosis of vWD type. Newer techniques, such as next-generation sequencing, have the capacity to analyze several genes simultaneously when necessary and to identify exon deletions and duplications, which makes it possible to identify causative vWF defects in more patients than previously.
What is vWF RCo?
The Von Willebrand Ristocetin Cofactor [vWF:RCo] assay measures the ability of a plasma sample to agglutinate platelets in the presence of the antibiotic Ristocetin. The rate of Ristocetin induced agglutination is related to the concentration and functional activity of the plasma von Willebrand factor.
What is vWF test?
Von Willebrand factor (vWF or VWF) is a protein that is one of several components of the coagulation system that work together, and in sequence, to stop bleeding within the body. VWF testing measures the amount of the protein present in blood and determines how well the protein functions.
What is ristocetin cofactor?
This test evaluates the function of von Willebrand factor by testing ristocetin-induced aggregation of normal platelets in the presence of the patient’s plasma. It measures the binding activity of vWF to platelet glycoprotein 1b.
Is von Willebrand recessive?
Autosomal recessive VWD is caused by changes in both copies of the gene related to the disorder, so that neither copy works correctly. In autosomal recessive inheritance, both parents have one VWD allele and one normal allele, but they don’t have the disorder; only a person with two VWD alleles will have the disorder.
What is the ristocetin test used for?
Ristocetin-induced platelet aggregation (RIPA) is used as an in vitro test to determine the presence and integrity of the platelet glycoprotein (GP) Ibα-V-IX complex and von Willebrand factor (VWF) interaction and is usually performed using platelet-rich plasma (PRP).
What is ristocetin cofactor test?
What gene causes von Willebrand?
Mutations in the VWF gene cause von Willebrand disease. The VWF gene provides instructions for making a blood clotting protein called von Willebrand factor, which is essential for the formation of blood clots .
What are the different types of von Willebrand disease?
There are three main types of VWD (VWD type 1, VWD type 2, and VWD type 3) each with differing degrees of severity and inheritance patterns. Unlike hemophilia which is characterized by joint bleeding, VWD is typically characterized by mucocutaneous bleeding.