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HR Gralnick, ME Rick, LP McKeown, SB Williams, RI Parker, P Maisonneuve, C Jenneau and Y Sultan
We studied 17 patients with moderate to mild type I von Willebrand's
disease (vWd) and correlated the bleeding time with the plasma von
Willebrand factor antigen (vWf Ag), the plasma vWf activity (ristocetin
cofactor), the platelet vWf Ag, and the platelet vWf activity. We found an
excellent correlation between the bleeding time and the platelet vWf
activity and, to a lesser extent, between the bleeding time and the
platelet vWf Ag. The length of the bleeding time was inversely proportional
to the level of the platelet vWf (P less than .001) or, to a lesser extent,
the platelet vWf Ag (P less than .05). The plasma vWf Ag and activity did
not correlate significantly with the bleeding time. These studies indicate
that the platelet vWf is one of the important bleeding time factors in type
I vWd and that the platelet vWf plays an important role in the early steps
of hemostasis.
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