The bleeding severity scale in patients with VWD
. | Severity, by symptoms and therapy . | . | . | . | |||
|---|---|---|---|---|---|---|---|
| Bleeding category . | 0 . | 1 . | 2 . | 3 . | |||
| Epistaxis | Absent | < 10 episodes/y | 10 episodes/y | Desmopressin or FVIII/VWF conc | |||
| < 10 min/episode | < 10 min/episode | ||||||
| No therapy | No therapy or local therapy | ||||||
| Cutaneous bleeding | Absent | < 10 episodes/y | > 10 episodes/y | Desmopressin or FVIII/VWF conc | |||
| No therapy | No therapy or local therapy | ||||||
| Bleeding from minor wounds | Absent | < 10 episodes/y | > 10 episodes/y | Desmopressin or FVIII/VWF conc | |||
| < 5 min/episode | > 5 min/episode | ||||||
| No therapy | No therapy or local therapy | ||||||
| Oral cavity bleeding | Absent | After minimal trauma only | Spontaneous | Desmopressin or FVIII/VWF conc | |||
| No therapy | No therapy or local therapy | ||||||
| Gastrointestinal bleeding | Absent | 1 bleeding episode | > 1 bleeding episode | Desmopressin or FVIII/VWF conc | |||
| No therapy | No therapy or local therapy | ||||||
| Bleeding after tooth extraction | Absent | Sometimes | Always | Desmopressin or FVIII/VWF conc | |||
| No therapy or local therapy | Local therapy | ||||||
| Bleeding after surgery | Absent | Minor bleeding | Major bleeding | Desmopressin or FVIII/VWF conc | |||
| No therapy or local therapy | Local therapy | ||||||
| Postpartum hemorrhage | Absent | Minor bleeding | Major bleeding | Desmopressin or FVIII/VWF conc | |||
| No therapy or local therapy | Local therapy | ||||||
| Muscle hematomas | Absent | After major trauma | After minor trauma | Desmopressin or FVIII/VWF conc | |||
| No therapy or local therapy | No therapy or local therapy | ||||||
| Hemarthrosis | Absent | After major trauma | After minor trauma | Desmopressin or FVIII/VWF conc | |||
| No therapy | Local therapy | ||||||
| Menorrhagia | Absent | No therapy or local therapy | Birth control pills | Desmopressin or FVIII/VWF conc | |||
. | Severity, by symptoms and therapy . | . | . | . | |||
|---|---|---|---|---|---|---|---|
| Bleeding category . | 0 . | 1 . | 2 . | 3 . | |||
| Epistaxis | Absent | < 10 episodes/y | 10 episodes/y | Desmopressin or FVIII/VWF conc | |||
| < 10 min/episode | < 10 min/episode | ||||||
| No therapy | No therapy or local therapy | ||||||
| Cutaneous bleeding | Absent | < 10 episodes/y | > 10 episodes/y | Desmopressin or FVIII/VWF conc | |||
| No therapy | No therapy or local therapy | ||||||
| Bleeding from minor wounds | Absent | < 10 episodes/y | > 10 episodes/y | Desmopressin or FVIII/VWF conc | |||
| < 5 min/episode | > 5 min/episode | ||||||
| No therapy | No therapy or local therapy | ||||||
| Oral cavity bleeding | Absent | After minimal trauma only | Spontaneous | Desmopressin or FVIII/VWF conc | |||
| No therapy | No therapy or local therapy | ||||||
| Gastrointestinal bleeding | Absent | 1 bleeding episode | > 1 bleeding episode | Desmopressin or FVIII/VWF conc | |||
| No therapy | No therapy or local therapy | ||||||
| Bleeding after tooth extraction | Absent | Sometimes | Always | Desmopressin or FVIII/VWF conc | |||
| No therapy or local therapy | Local therapy | ||||||
| Bleeding after surgery | Absent | Minor bleeding | Major bleeding | Desmopressin or FVIII/VWF conc | |||
| No therapy or local therapy | Local therapy | ||||||
| Postpartum hemorrhage | Absent | Minor bleeding | Major bleeding | Desmopressin or FVIII/VWF conc | |||
| No therapy or local therapy | Local therapy | ||||||
| Muscle hematomas | Absent | After major trauma | After minor trauma | Desmopressin or FVIII/VWF conc | |||
| No therapy or local therapy | No therapy or local therapy | ||||||
| Hemarthrosis | Absent | After major trauma | After minor trauma | Desmopressin or FVIII/VWF conc | |||
| No therapy | Local therapy | ||||||
| Menorrhagia | Absent | No therapy or local therapy | Birth control pills | Desmopressin or FVIII/VWF conc | |||
Conc indicates concentrate.