A Rare Co-occurrence: Von Willebrand Disease in a Patient with Schizophrenia


Authors : Dr. Meghna Mallya

Volume/Issue : Volume 10 - 2025, Issue 4 - April


Google Scholar : https://tinyurl.com/yvrz8n59

Scribd : https://tinyurl.com/3crsd84z

DOI : https://doi.org/10.38124/ijisrt/25apr077

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Abstract : Schizophrenia is a severe neuropsychiatric disorder that affects cognitive and emotional functioning, while von Willebrand Disease (vWD) is the most common inherited bleeding disorder caused by a deficiency or dysfunction of von Willebrand Factor (vWF). Although both conditions are well-studied individually, their co-occurrence is exceedingly rare, posing unique diagnostic and therapeutic challenges. This case report describes a patient diagnosed with schizophrenia who also presented with vWD, highlighting the complexities in management due to overlapping clinical manifestations, medication interactions, and the need for a multidisciplinary approach. Potential shared genetic and inflammatory mechanisms are discussed, along with the importance of integrated care to optimize patient outcomes. This case underscores the necessity for heightened awareness and collaboration between psychiatry and hematology to manage such rare coexisting conditions effectively.

References :

  1. Lee, Y. S., Miller, M., Cortese Hassett, A., Lee-Kim, B. Y., Kim, J. J., Haracznak, M., Ranade, S., Wood, J., Reddy, R., Kupfer, D. J., Bontempo, F., & Nimgaonkar, V. L. (2004). von Willebrand’s disease and psychotic disorders: co-segregation and genetic associations. Bipolar Disorders, 6(2), 150–155.
  2. Sahadevan, P., Rajkumar, S., & Jacob, K. S. (2014). Gender and psychiatric manifestations in Marfan syndrome – is schizophrenia a coincidence? Australian & New Zealand Journal of Psychiatry, 48(2), 184–185.
  3. Atiq, F., Meijer, K., Eikenboom, J., Fijnvandraat, K., Mauser-Bunschoten, E. P., van Galen, K. P. M., Nijziel, M. R., Ypma, P. F., de Meris, J., Laros-van Gorkom, B. A. P., van der Bom, J. G., de Maat, M. P., Cnossen, M. H., & Leebeek, F. W. G. (2018). Comorbidities associated with higher von Willebrand factor (VWF) levels may explain the age-related increase of VWF in von Willebrand disease. British Journal of Haematology, 182(1), 93–105.

Schizophrenia is a severe neuropsychiatric disorder that affects cognitive and emotional functioning, while von Willebrand Disease (vWD) is the most common inherited bleeding disorder caused by a deficiency or dysfunction of von Willebrand Factor (vWF). Although both conditions are well-studied individually, their co-occurrence is exceedingly rare, posing unique diagnostic and therapeutic challenges. This case report describes a patient diagnosed with schizophrenia who also presented with vWD, highlighting the complexities in management due to overlapping clinical manifestations, medication interactions, and the need for a multidisciplinary approach. Potential shared genetic and inflammatory mechanisms are discussed, along with the importance of integrated care to optimize patient outcomes. This case underscores the necessity for heightened awareness and collaboration between psychiatry and hematology to manage such rare coexisting conditions effectively.

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