A 13-year old girl with Menorrhagia having Von Willebrands disease will show :
Correct Answer: Isolated prolonged PTT with a normal PT
Description: Von Willebrand's factor acts as a plasma carrier of factor VIII and circulates in the blood as factor VIII-VWF complex. Its deficiency therefore impairs the intrinsic pathway of coagulation and prolongs the GPTT as the intrinsic pathway of coagulation. Ref:Kligman, Behrman, Jenson, Stanton (2008), Chapter 477, "VON WILLEBRAND DISEASE", In the book, "Nelson's Textbook of Pediatrics", Volume 2, 18th Edition, New Delhi, Page 2073
Category:
Pediatrics
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