PMID- 21175099 OWN - NLM STAT- MEDLINE DCOM- 20110113 LR - 20131121 IS - 0334-018X (Print) IS - 0334-018X (Linking) VI - 23 IP - 9 DP - 2010 Sep TI - Investigation of acquired von Willebrand Syndrome in children with hypothyroidism: reversal after treatment with thyroxine. PG - 967-74 AB - BACKGROUND: Acquired von Willebrand Syndrome (AvWS) is a rare bleeding disorder associated with various underlying conditions. Many case reports have been published so far on bleeding tendency in hypothyroidism resembling AvWS. OBJECTIVE: This study was designed to define the relationship between hypothyroidism and AvWS and to investigate the effects of L-thyroxine treatment. SUBJECTS: Twenty four hypothyroid patients were included in the study. Nineteen patients were evaluated during treatment, 5 patients were evaluated before hormone replacement. METHODS: Complete coagulation screening tests including levels of von Willebrand Factor antigen (vWF:Ag) and functional activity (vWF:RCo) were measured by thrombocyte aggregometer. RESULTS: We demonstrated low vWF:Ag and vWF:RCo in 13 patients. Two of the 13 patients were diagnosed as AvWS, while another 2 patients were diagnosed as hereditary vWD Type 1. The remaining patients are still being followed-up. CONCLUSION: We would like to attract the attention of paediatricians to the possibility of bleeding due to decreased activity of vWF in hypothyroid children. FAU - Olukman, Ozgur AU - Olukman O AD - Dr. Behcet Uz Children's Hospital, Izmir, Turkey. drolukman2002@yahoo.com FAU - Sahin, Ulku AU - Sahin U FAU - Kavakli, Tulay AU - Kavakli T FAU - Kavakli, Kaan AU - Kavakli K LA - eng PT - Journal Article PL - Germany TA - J Pediatr Endocrinol Metab JT - Journal of pediatric endocrinology & metabolism : JPEM JID - 9508900 RN - Q51BO43MG4 (Thyroxine) SB - IM MH - Adolescent MH - Child MH - Child, Preschool MH - Female MH - Humans MH - Hypothyroidism/*blood/complications/drug therapy MH - Infant MH - Infant, Newborn MH - Male MH - Thyroxine/*therapeutic use MH - von Willebrand Diseases/*etiology EDAT- 2010/12/24 06:00 MHDA- 2011/01/14 06:00 CRDT- 2010/12/24 06:00 PHST- 2010/12/24 06:00 [entrez] PHST- 2010/12/24 06:00 [pubmed] PHST- 2011/01/14 06:00 [medline] PST - ppublish SO - J Pediatr Endocrinol Metab. 2010 Sep;23(9):967-74.