A case of inherited type 1 and type 2A von Willebrand disease confirmed by diagnostic exome sequencing

Ye Jee Shim1, So Yun Park1, Nani Jung1

  • 1Department of Pediatrics, Keimyung University School of Medicine and Dongsan Medical Center, Daegu, Republic of Korea.

Insights

This study identifies compound heterozygous mutations in von Willebrand disease (vWD) within a family. Genetic analysis confirmed distinct vWD type 1 and type 2A variants, guiding patient management.

Area of Science:

  • Genetics
  • Hematology
  • Molecular Biology

Background:

  • Von Willebrand disease (vWD) is a common inherited bleeding disorder.
  • Accurate genetic diagnosis is crucial for effective management and genetic counseling.
  • Pediatric coagulopathy necessitates thorough investigation of inherited bleeding disorders.

Observation:

  • A pediatric patient and family members presented with coagulopathy.
  • Laboratory tests revealed von Willebrand disease in all affected family members.
  • Diagnostic exome sequencing was performed for genetic confirmation.

Findings:

  • The patient was diagnosed as a compound heterozygote for vWD.
  • He inherited a known vWD type 1 variant (c.2574C>G) from his father.
  • He inherited a vWD type 2A variant (c.3390C>T) causing exon 26 skipping from his mother.

Implications:

  • Understanding compound heterozygous mutations in vWD is essential for personalized treatment strategies.
  • Management of vWD in pediatric patients requires careful consideration of genetic variants.
  • Successful surgical outcomes can be achieved with appropriate hemostatic management in vWD patients.

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