Understanding von Willebrand Disease in Dogs: Diagnosis, Treatment, and Care

Directors' Recommendations

An In-Depth Look at Von Willebrand Disease in Dogs: Causes, Diagnosis, Treatment, and Affected Breeds

Von Willebrand disease in dogs is a common inherited bleeding disorder that affects various breeds. It results from a deficiency in von Willebrand factor, a crucial blood clotting protein. Without sufficient levels of this factor, dogs face excessive bleeding from even minor injuries. This article covers what von Willebrand disease is, how it’s diagnosed, treated, and managed, and what breeds are most susceptible.

Von Willebrand Disease in Dogs: Key Highlights on this Disease

  • Von Willebrand Disease (vWD) is the most prevalent bleeding disorder inherited in dogs, resulting from a deficiency in von Willebrand factor, a critical component for proper blood clotting
  • Certain dog breeds, particularly Doberman Pinschers, Pembroke Welsh Corgis, and Poodles, are more prone to vWD, necessitating genetic testing to manage breeding practices and reduce disease prevalence
  • Effective management of vWD includes recognizing symptoms, timely veterinary diagnosis, and tailored treatment options, along with maintaining a low-stress environment to minimize bleeding risks

What Is von Willebrand Disease in Dogs?

Von Willebrand Disease (vWD), as the highly common bleeding disorder that dogs inherit recessively, affects various breeds and presenting significant challenges for dog owners. This bleeding disorder arises from a deficiency in von Willebrand factor (vWF), a crucial protein in the blood clotting process. Without adequate levels of this factor, dogs struggle to form blood clots, leading to excessive bleeding even from minor injuries.


Von Willebrand factor is a large multimeric glycoprotein that plays a significant role in blood clotting factors by binding platelets together to stop bleeding and supporting platelet function. When there is a lack of von Willebrand factor, dogs experience impaired blood clotting, resulting in prolonged and often uncontrollable bleeding. This deficiency can lead to a range of symptoms, from mild bruising to severe hemorrhaging.


The hereditary nature of the Canine von Willebrand Disease means it can be passed down from parent dogs to their puppies. Dogs with von Willebrand disease frequently experience excessive bleeding due to their low levels of von Willebrand factor. Grasping the genetic basis and role of von Willebrand factor aids in managing and preventing this condition in dogs.

Related

Dog Breeds Prone to von Willebrand Disease

While von Willebrand Disease can affect many dog breeds, some are more predisposed than others. Doberman Pinschers are one of the most commonly affected breeds, with over 30 breeds in total known to be susceptible to this condition. Type I von Willebrand disease phenotype, characterized by a partial deficiency in von Willebrand factor, is commonly seen in breeds such as Doberman Pinschers, Pembroke Welsh Corgis, Poodles, and Bernese Mountain Dogs.


While von Willebrand Disease can affect many dog breeds, some severely affected dogs are more predisposed than others. The most commonly affected breeds include:


  • Doberman Pinschers
  • Pembroke Welsh Corgis
  • Poodles
  • Bernese Mountain Dogs


In total, over 30 breeds are known to be susceptible to this condition, particularly Type I von Willebrand disease, which is characterized by a partial deficiency in von Willebrand factor.


Type II von Willebrand disease is less common but still significant, affecting breeds like German Wirehaired Pointers and German Shorthaired Pointers. Meanwhile, Scottish Terriers and Shetland Sheepdogs are more prone to Type III von Willebrand disease, the most severe form due to a near-total absence of von Willebrand factor. These categorizations help veterinarians and breeders manage and anticipate health challenges in these specific breeds.


Genetic testing has become an invaluable tool in identifying dogs at risk for von Willebrand disease, allowing breeders to make informed decisions. This is particularly important for breeds known to carry the vWD trait, as responsible breeding practices can help reduce the prevalence of this inherited bleeding disorder in future generations.

Recognizing Symptoms of von Willebrand Disease

Identifying von Willebrand Disease symptoms early ensures timely intervention and management. Affected dogs may exhibit signs such as easy bruising and prolonged bleeding from minor injuries. A deficiency of von Willebrand factor causes prolonged bleeding and various clinical signs, depending on the disorder’s severity.


"Clinical signs of von Willebrand disease can range from mild to severe bleeding tendencies."

Dogs may experience spontaneous bleeding from areas such as the nose, mouth, and urinary tract. "In some cases," Dr. Fernandez went on to note, "affected dogs might bleed excessively after surgeries or minor procedures like dewclaw removal and teething." The severity of bleeding can vary widely, with some dogs showing minimal symptoms while others suffer from significant bleeding problems related to canine von Willebrand Disease.


Not all dogs with the von Willebrand trait will show obvious bleeding issues. However, understanding these potential symptoms can help dog owners seek timely veterinary care, ensuring that affected dogs receive the necessary treatment and management.

How Veterinarians Diagnose von Willebrand Disease

Diagnosing von Willebrand Disease requires a series of tests to rule out other causes and confirm the bleeding disorder. The initial blood test will typically include a complete blood count (CBC) to exclude other potential causes of bleeding. Specific assays of canine von Willebrand factor are essential for diagnosing von Willebrand Disease, as these tests measure the concentration and functionality of vWF in the blood.


Immunoassays typically measure the concentration of von Willebrand’s factor in the blood. Additionally, the vWF collagen binding assay evaluates the ability of von Willebrand’s factor to bind to collagen, which is crucial for effective blood clotting. These tests provide a comprehensive picture of the dog’s clotting ability and the presence of von Willebrand factor.


The buccal mucosal bleeding time (BMBT) test assesses platelet plug formation by measuring the time it takes for a cut on the mucosal surface to stop bleeding. A coagulation panel is also helpful in excluding other clotting factor deficiencies that could contribute to the dog’s bleeding symptoms. Veterinarians often use specialized comparative coagulation laboratories for precise measurements and interpretations of these tests.

Treatment Options for von Willebrand Disease

Treating von Willebrand Disease in dogs requires options tailored to the condition’s severity. Common treatments include blood transfusions, fresh frozen plasma, and Desmopressin (DDAVP), which can help reduce bleeding times in dogs with milder forms of vWD, particularly Type I. These treatments aim to replenish the deficient von Willebrand factor and improve the dog’s ability to form clots.


For severe cases of von Willebrand Disease, cryoprecipitate can be administered to control significant bleeding. This treatment is especially effective in providing high concentrations of clotting factors, including von Willebrand factor. Additionally, lyophilized canine von Willebrand factor concentrate has been introduced as a treatment option, although its effectiveness is still being evaluated.


Treatment approaches vary based on the type of von Willebrand disease. Type I is characterized by a partial deficiency of vWF, leading to a mild-to-moderate risk of bleeding. In contrast, Types II and III involve more significant bleeding risks due to lower concentrations or complete absence of von Willebrand factor. Recognizing these distinctions is key for effective management and treatment of affected dogs.

Managing Life with von Willebrand Disease

Living with a dog diagnosed with von Willebrand Disease requires careful management to prevent injuries and minimize stress. Preventing activities that could cause blood vessel injury is vital for managing this condition. Stressful situations can exacerbate hemorrhagic signs in dogs with vWD, so maintaining a calm and stress-free environment is crucial.


Medical issues such as infections and hormonal disorders can intensify bleeding symptoms in affected dogs. Hence, regular veterinary check-ups and prompt treatment of any underlying conditions are essential. A stable and low-stress environment can significantly help manage von Willebrand disease symptoms.


Practical tips for managing a dog with vWD include preventing rough play and minimizing stress. Taking these precautions and working closely with a veterinarian enables dog owners to help their pets lead healthy and fulfilling lives despite the condition.

Breeding Considerations for Dogs with von Willebrand Disease

Breeding practices are crucial in managing von Willebrand Disease in dog populations. Breeding dogs with vWD or carriers of the disease is strongly discouraged. Genetic testing identifies dogs at risk for von Willebrand disease, which is inherited recessively. This allows breeders to make informed decisions and avoid pairing carriers.


The inheritance pattern for von Willebrand disease is complex and affects both genders equally. Therefore, certain dog breeds should be screened for vWD prior to breeding to prevent transmission. Responsible breeding should avoid pairing carriers of von Willebrand disease to reduce the risk of producing affected offspring.


Dogs with borderline or low von Willebrand factor levels should also not be bred, as they pose increased bleeding risks. By adhering to these guidelines, breeders can help reduce the prevalence of this inherited bleeding disorder in future generations.

Key Takeaways

In summary, von Willebrand Disease is a common inherited bleeding disorder in dogs that requires careful management and understanding. Recognizing the symptoms, obtaining an accurate diagnosis, and implementing appropriate treatment options are crucial steps in caring for affected dogs. Moreover, responsible breeding practices can help reduce the prevalence of this condition in future generations.


By staying informed and working closely with veterinarians, dog owners can ensure their pets lead healthy and fulfilling lives despite the challenges posed by von Willebrand Disease. Let’s take proactive steps to care for our furry friends and make a positive impact on their well-being.

Frequently Asked Questions


What are the symptoms of von Willebrand's disease in dogs?

Symptoms of von Willebrand's disease in dogs include easy bruising, prolonged bleeding from minor injuries, spontaneous bleeding from the nose, mouth, or urinary tract, and excessive bleeding after surgeries. Monitoring these signs is vital for timely veterinary care.

What is the life expectancy for von Willebrand disease?

Dogs with von Willebrand disease can live a normal lifespan with proper management and care. The condition itself doesn't directly affect life expectancy, but monitoring and controlling excessive bleeding is crucial to avoid complications.

What dog breed is most affected by von Willebrand's disease?

Doberman Pinschers are the dog breed most affected by von Willebrand's disease. This common inherited bleeding disorder results from a deficiency in von Willebrand factor, crucial for blood clotting. Genetic testing helps manage breeding and reduce disease prevalence.

Can a dog with von Willebrand be spayed?

Yes, a dog with von Willebrand disease can be spayed, but it requires careful planning. Veterinary teams must assess the dog's clotting ability and may administer treatments like Desmopressin to reduce bleeding risks during and after the procedure.

ABCs Puppy Zs

ABCs Puppy Zs Ensures Healthy, Lovingly Raised Goldendoodles, for an Exceptional Experience in Pet Ownership.

Could you ask for more? You bet: