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Tom 11, Nr 2 (2018)
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Opublikowany online: 2018-09-07

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Eksport do Mediów Społecznościowych

Eksport do Mediów Społecznościowych

Choroba von Willebranda typu 2N — epidemiologia, diagnostyka fenotypowo-molekularna

Ksenia Bykowska1, Bernadeta Ceglarek2
Journal of Transfusion Medicine 2018;11(2):52-62.

Streszczenie

Choroba von Willebranda (VWD) typu 2N jest to skaza krwotoczna, która dziedziczy się autosomalnie recesywnie i jest klinicznie podobna do łagodnej hemofilii A. W typie 2N VWD zmniejszone powinowactwo czynnika von Willebranda (VWF) do czynnika VIII (FVIII) jest spowodowane mutacjami w miejscu wiązania FVIII lub zmianami konformacyjnymi cząsteczki VWF, upośledzającymi interakcję VWF-FVIII. Laboratoryjnie typ 2N VWD charakteryzuje się nieproporcjonalnie obniżonym FVIII do antygenu VWF i w efekcie zredukowanym ilorazem FVIII/VWF:Ag. U większości pacjentów z 2N VWD stężenie i struktura multimetrów VWF są prawidłowe. Rozpoznanie VWD 2N opiera się głównie na oznaczeniu obniżonego wiązania FVIII do VWF lub zidentyfikowaniu mutacji sprawczych w domenie genu VWF, odpowiedzialnej za wiązanie FVIII. Typ 2N VWD powinien być zawsze brany pod uwagę u pacjentów z niskim stężeniem FVIII.

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Journal of Transfusion Medicine