Laboratory patterns of different types of VWD
. | VWF:Ag . | VWF:RCo . | VWF:RCo/VWF:Ag . | FVIII:C . | Multimer pattern . | Platelet count . | Specialized testing . |
---|---|---|---|---|---|---|---|
Quantitative disorders of VWF | |||||||
Type 1 | ↓ | ↓ | ≥0.6 | Normal to ↓ | Normal | Normal | |
Type 1C | ↓ | ↓ | ≥0.6 | Normal to ↓ | Normal | Normal | Increased VWFpp/VWF:Ag ratio |
Low VWF levels | ↓ | ↓ | ≥0.6 | Normal to ↓ | Normal | Normal | |
Type 3 | ↓↓↓ | ↓↓↓ | ≥0.6 | ↓↓↓ | Absent | Normal | |
Qualitative disorders of VWF | |||||||
Type 2A | ↓ | ↓↓ | ≤0.6 | Normal to ↓ | Loss of HMW-VWF | Normal | |
Type 2B | ↓ | ↓↓ | ≤0.6 | Normal to ↓ | Loss of HMW-VWF | ↓↓ | LD-RIPA enhanced with patient-derived plasma (VWF) |
Platelet-type VWD | ↓ | ↓↓ | ≤0.6 | Normal | Loss of HMW-VWF | ↓↓ | LD-RIPA enhanced with patient-derived platelets |
Type 2M | ↓ | ↓↓ | ≤0.6 | Normal to ↓ | Normal | Normal | |
Type 2N | Normal to ↓ | Normal to ↓ | ≥0.6 | ↓↓ | Normal | Normal | Decreased VWF:FVIII-binding capacity |
. | VWF:Ag . | VWF:RCo . | VWF:RCo/VWF:Ag . | FVIII:C . | Multimer pattern . | Platelet count . | Specialized testing . |
---|---|---|---|---|---|---|---|
Quantitative disorders of VWF | |||||||
Type 1 | ↓ | ↓ | ≥0.6 | Normal to ↓ | Normal | Normal | |
Type 1C | ↓ | ↓ | ≥0.6 | Normal to ↓ | Normal | Normal | Increased VWFpp/VWF:Ag ratio |
Low VWF levels | ↓ | ↓ | ≥0.6 | Normal to ↓ | Normal | Normal | |
Type 3 | ↓↓↓ | ↓↓↓ | ≥0.6 | ↓↓↓ | Absent | Normal | |
Qualitative disorders of VWF | |||||||
Type 2A | ↓ | ↓↓ | ≤0.6 | Normal to ↓ | Loss of HMW-VWF | Normal | |
Type 2B | ↓ | ↓↓ | ≤0.6 | Normal to ↓ | Loss of HMW-VWF | ↓↓ | LD-RIPA enhanced with patient-derived plasma (VWF) |
Platelet-type VWD | ↓ | ↓↓ | ≤0.6 | Normal | Loss of HMW-VWF | ↓↓ | LD-RIPA enhanced with patient-derived platelets |
Type 2M | ↓ | ↓↓ | ≤0.6 | Normal to ↓ | Normal | Normal | |
Type 2N | Normal to ↓ | Normal to ↓ | ≥0.6 | ↓↓ | Normal | Normal | Decreased VWF:FVIII-binding capacity |
HMW, high molecular weight. ↓, mild decrease; ↓↓, moderate decrease; ↓↓↓, severe decrease.