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What are 4 mechanisms of acquired von Willebrand syndrome?
Click for AnswerSort the causes of acquired von Willebrand syndrome (top) according to mechanisms (bottom):
SLE
Aortic stenosis
MGUS
Wilms tumor
Essential thrombocythemia
Left ventricular assist device (LVAD)
MM
Shearing of HMW multimers
Antibody-mediated vWF clearance
Increased binding of vWF to cells
Abbreviations: vWF, von Willebrand factor; HMW, high molecular weight; MM, multiple myeloma, MGUS, monoclonal gammopathy of unknown significance; SLE, systemic lupus erythematosus.
Most cases of acquired von Willebrand syndrome, including those caused by increased shear stress and increased binding to cells, involve a reduction in high molecular weight von Willebrand multimers.
What type of congenital von Willebrand disease does this phenotype most closely resemble?
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