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Your Family Tree and VWD

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     Most people who have VWD are born with it. VWD is passed along from parent to child in certain families. 1 However, because the symptoms may be mild, a family member could have VWD and never know it. 1 Also, because this disorder runs in families, people with VWD often have relatives (an aunt, grandparent, or cousin) with some form of unusual bleeding. 2 VWD is passed along from parent to child in a special kind of pattern, called autosomal dominant inheritance. This means that if one parent has VWD, the child has a 50% chance of inheriting a mild form of the disease. If both parents have VWD, the child could inherit either a mild (50% chance), or severe (25% chance) form of the disease. Take a look at the diagram in below.
Inheritance
Adopted with permission from Montgomery and Hilgartner. 3
 

Spontaneous

   Sometimes, VWD may occur without a family history. This is known as a new mutation. However, once a person has VWD, whether it is inherited or spontaneous, they can pass it along to their children. 3

REFERENCES

1. White GC II, Montgomery RR. Clinical aspects of and therapy for von Willebrand disease. In: Hoffman R, Benz EJ Jr, Shattil SJ, et al, eds. Hematology: Basic Principles and Practice. 3rd ed. New York, NY: Churchill Livingstone Inc; 2000:1946-1958.

2. Sham RL, Francis CW. Evaluation of mild bleeding disorders and easy bruising. Blood Rev. 1994;8:98-104.

3. Montgomery RR, Hilgartner MW. Understanding von Willebrand Disease. The National Hemophilia Foundation; 1991.





   
   

 
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