angiodysplasia;
aortic stenosis;
gastrointestinal bleeding;
haemorrhage;
von Willebrand disease;
von Willebrand factor;
D O I:
10.1016/j.thromres.2006.01.022
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Gastrointestinal bleeding due to colonic angiodysplasia is a well-recognised complication of von Willebrand disease (vWD), occurring almost exclusively in subtypes of the disease associated with a reduction in high-molecular-weight (HMW) multimers of von Willebrand factor (vWF). A deficiency of vWF HMW multimers also provides the link between aortic stenosis and gastrointestinal (GI) bleeding in Heyde's syndrome. The diagnosis and treatment of the angiodysplastic bleeding in vWD can be very difficult and the role of vWF containing concentrates in treatment and prophylaxis remains to be established. (c) 2006 Elsevier Ltd. All rights reserved.
机构:
Univ Pittsburgh, Med Ctr, Dept Med, Pittsburgh, PA 15213 USAUniv Pittsburgh, Med Ctr, Dept Med, Pittsburgh, PA 15213 USA
Tsagianni, Anastasia
Comer, Diane M.
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机构:
Univ Pittsburgh, Ctr Res Hlth Care Data Ctr, Pittsburgh, PA 15213 USAUniv Pittsburgh, Med Ctr, Dept Med, Pittsburgh, PA 15213 USA
Comer, Diane M.
Yabes, Jonathan G.
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机构:
Univ Pittsburgh, Ctr Res Hlth Care Data Ctr, Pittsburgh, PA 15213 USA
Univ Pittsburgh, Dept Biostat, Pittsburgh, PA 15213 USAUniv Pittsburgh, Med Ctr, Dept Med, Pittsburgh, PA 15213 USA
Yabes, Jonathan G.
Ragni, Margaret, V
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机构:
Univ Pittsburgh, Div Hematol Oncol, Dept Med & Clin Translat Sci, Pittsburgh, PA 15213 USA
Hemophilia Ctr Western Penn, Pittsburgh, PA USAUniv Pittsburgh, Med Ctr, Dept Med, Pittsburgh, PA 15213 USA
机构:
IRCCS Ca Granda Maggiore Policlin Hosp Fdn, Sci Direct, Milan, ItalyRoyal Hallamshire Hosp, Sheffield Haemophilia & Thrombosis Ctr, Sheffield S10 2JF, S Yorkshire, England
Mannucci, P. M.
Bolton-Maggs, P. H. B.
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机构:
Manchester Blood Ctr, SHOT Off, Manchester, Lancs, EnglandRoyal Hallamshire Hosp, Sheffield Haemophilia & Thrombosis Ctr, Sheffield S10 2JF, S Yorkshire, England
Bolton-Maggs, P. H. B.
Yee, T. T.
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机构:
Royal Free Hosp, Haemophilia Ctr, London NW3 2QG, England
Royal Free Hosp, Haemostasis Unit, London NW3 2QG, EnglandRoyal Hallamshire Hosp, Sheffield Haemophilia & Thrombosis Ctr, Sheffield S10 2JF, S Yorkshire, England
Yee, T. T.
Abshire, T.
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机构:
Blood Ctr Wisconsin, Inst Med Sci, Milwaukee, WI USARoyal Hallamshire Hosp, Sheffield Haemophilia & Thrombosis Ctr, Sheffield S10 2JF, S Yorkshire, England