Table 1.

VWD types and laboratory test results

VWD typeDescriptionVWF:AgVWF activity VWF activity/AgFVIII:CMultimersOther tests/results
Partial quantitative deficiency VWF ↓ to ↓↓ ↓ to ↓↓ >0.7 Normal to ↓ Normal N/A 
1C Increased clearance of VWF ↓ to ↓↓ ↓ to ↓↓ >0.7 Normal to ↓ Normal DDAVP trial; increased ratio of VWFpp to VWF:Ag 
2A Decreased VWF-dependent platelet adhesion with deficiency of HMWM Normal to ↓ ↓↓ <0.7 Normal to ↓ Loss of HMWM Abnormal VWF:CB 
2B Increased affinity for platelet GPIbα ↓ ↓↓ <0.7 Normal to ↓ Loss of HMWM Abnormal VWF:CB; enhanced RIPA; genetic testing 
2M Decreased VWF-dependent platelet adhesion with normal multimers ↓ ↓↓ <0.7 Normal to ↓ Normal Normal VWF:CB 
2N Decreased binding affinity for FVIII ↓ ↓↓ <0.7 Normal to ↓ Normal Decreased VWF:FVIIIB; genetic testing 
Virtually complete quantitative deficiency of VWF ↓↓↓ ↓↓↓ N/A ↓↓↓ Absent N/A 
VWD typeDescriptionVWF:AgVWF activity VWF activity/AgFVIII:CMultimersOther tests/results
Partial quantitative deficiency VWF ↓ to ↓↓ ↓ to ↓↓ >0.7 Normal to ↓ Normal N/A 
1C Increased clearance of VWF ↓ to ↓↓ ↓ to ↓↓ >0.7 Normal to ↓ Normal DDAVP trial; increased ratio of VWFpp to VWF:Ag 
2A Decreased VWF-dependent platelet adhesion with deficiency of HMWM Normal to ↓ ↓↓ <0.7 Normal to ↓ Loss of HMWM Abnormal VWF:CB 
2B Increased affinity for platelet GPIbα ↓ ↓↓ <0.7 Normal to ↓ Loss of HMWM Abnormal VWF:CB; enhanced RIPA; genetic testing 
2M Decreased VWF-dependent platelet adhesion with normal multimers ↓ ↓↓ <0.7 Normal to ↓ Normal Normal VWF:CB 
2N Decreased binding affinity for FVIII ↓ ↓↓ <0.7 Normal to ↓ Normal Decreased VWF:FVIIIB; genetic testing 
Virtually complete quantitative deficiency of VWF ↓↓↓ ↓↓↓ N/A ↓↓↓ Absent N/A 

↓, slightly reduced; ↓↓, moderately reduced; ↓↓↓, significantly reduced; DDAVP, desmopressin (1-deamino-8-D-arginine vasopressin); N/A, not applicable.

VWF:GPIbM (GPIb binding assay for VWF using recombinant mutated GPIb, no ristocetin) or VWF:GPIbR (GPIb binding assay for VWF using recombinant GPIb and ristocetin).

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