WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

Search

Content:

Sunday, July 3, 2022

vWD, HHT, ITP

emDOCs / EM@3AM - July 02, 2022 - By Shane O’Donnell and Zachary Aust
Reviewed by: Alex Koyfman and Brit Long
Pearls:
  • vWD (Von-Willebrand Disease) is the most common inherited bleeding disorder, but do not forget to evaluate for the acquired form
  • DDAVP (Desmopressin) should be considered for all patients presenting with vWD
  • HHT (Hereditary Hemorrhagic Telangiectasia) can present at any age but most commonly is associated with recurrent epistaxis
  • ITP (Immune Thrombocytopenia) can be an incidental primary finding or secondary to another disease process
  • Platelet transfusion has demonstrated success in both children and adults with the right indications and admission should be considered for any bleeding that required intervention