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| Von Willebrand's Disease is an inherited autosomal recessive trait. It is incompletely dominant, so there is variable expression. It can present as purpura and/or prolonged bleeding times. Pathologically, there is reduced platelet adhesiveness and low Factor XIII levels. | | Von Willebrand's Disease is an inherited autosomal recessive trait. It is incompletely dominant, so there is variable expression. It can present as purpura and/or prolonged bleeding times. Pathologically, there is reduced platelet adhesiveness and low Factor XIII levels. |
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− | The disease can be assessed by the measurement of Von Willebrand Factor protein levels. | + | The disease can be assessed by the measurement of Von Willebrand Factor protein levels; levels are low in affected animals. The Von Willebrand Factor protein bind to Factor VIII, and is synthesised in endothelial cells and megakaryocytes and stored in platelets. |
− | ** A Factor VIII-related protein.
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− | ** Synthesised in endothelial cells and megakaryocytes.
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− | ** Stored in platelets.
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− | ** Levels are low in affected animals.
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− | | + | ==Factor I == |
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− | '''Deficiency states of other factors have been recorded sporadically as follows:'''
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− | ====Factor I ====
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| * Factor 1 is fibrinogen. | | * Factor 1 is fibrinogen. |
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| ** Depletion by intravascular coagulation. | | ** Depletion by intravascular coagulation. |
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− | ====Factor II ====
| + | ==Factor II == |
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| * Factor II is part of the prothrombin complex. | | * Factor II is part of the prothrombin complex. |
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| *** Competitively inhibits Vitamin K in the liver, where the above Factors are synthesised. | | *** Competitively inhibits Vitamin K in the liver, where the above Factors are synthesised. |
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− | ====Factor IV ====
| + | ==Factor IV == |
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| * Factor IV is calcium. | | * Factor IV is calcium. |
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| ** There is therefore no bleeding defect associated with hypocalcaemia. | | ** There is therefore no bleeding defect associated with hypocalcaemia. |
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− | ====Factor VII====
| + | ==Factor VII== |
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| * Factor VII is Proconvertin. | | * Factor VII is Proconvertin. |
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| * Deficiencies may also occur associated with [[Liver - Anatomy & Physiology|liver]] disease and in dicoumarol poisoning. | | * Deficiencies may also occur associated with [[Liver - Anatomy & Physiology|liver]] disease and in dicoumarol poisoning. |
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− | ====Factor VIII ====
| + | ==Factor VIII == |
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| * Factor VIII is known as antihaemophilic factor (AHF). | | * Factor VIII is known as antihaemophilic factor (AHF). |
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| * Haematomas and haemarthrosis are common lesions. | | * Haematomas and haemarthrosis are common lesions. |
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− | ====Factor IX ====
| + | ==Factor IX == |
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| * Factor IX is Christmas Factor. | | * Factor IX is Christmas Factor. |
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| *** Similar to Factor VIII deficiency. | | *** Similar to Factor VIII deficiency. |
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− | ====Factor XI====
| + | ==Factor XI== |
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| * Factore XI is Plasma Thromboplastin Antecedent. | | * Factore XI is Plasma Thromboplastin Antecedent. |
| * Deficiency has been reported in a cow, and reduced levels in the horse. | | * Deficiency has been reported in a cow, and reduced levels in the horse. |
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− | ====Factor XII====
| + | ==Factor XII== |
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| * Factor XII is Hageman Factor. | | * Factor XII is Hageman Factor. |