We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. If VWD can't explain this, are there any other conditions that would cause lab abnormalities that mimic type 1 VWD with petechiae as the only symptom? 2) How likely is it that a person could have regular, hereditary type 1 vWD without symptoms for 30 years, only to become symptomatic at age 31? I'm very worried I have the 'acquired' type of vWD that is secondary to some pretty terrible things and I was just wondering if there was any chance my condition could be hereditary still? Thanks in advance for your help! I cut myself shaving and incur little scrapes and scratches on a pretty regular basis with no prolonged bleeding and I can count on 1 hand the number of nosebleeds I've had in my life (none since 2011). My 2 questions for anyone knowledgeable on the subject are as follows: 1) Can type 1 von Willebrand's present with only petechiae? I really have no other bleeding symptoms. Seems unlikely to me that abnormal PFA-100 collagen ADP closure time, VW antigen, VW RCo, and Factor VIII could all be attributable to lab error, but who knows. My hematologist was very surprised and said she wants me to be re-tested in case there was a lab error. Anyway, the test results came back consistent with Type 1 vWD. The hematologist listened to my concerns and told me that she wanted to test me for von Willebrand disease, but she expected the testing to come back negative as I "should have other symptoms besides petechiae if it's von Willebrand's." I was kind of surprised by that, as I had been under the impression that vWD presented with a spectrum of symptoms of varying severity, ranging from asymptomatic to very serious. Following an approximately 8 month (and counting) history of recurrent petechiae, my doctor finally referred me to a hematologist for further evaluation. Hi all, This is my first post in this community.