Case history
A 29-year-old female patient, resident of Nishat, Srinagar, reported to the Department of Periodontics and Oral Implantology, Government Dental College, Srinagar with the complaints of recurrent bleeding and swelling of gums. Medical history revealed that she was a known case of vWD. She had a history of cholecystectomy and right ovarian cystectomy 9 years back. The patient was previously on oral contraceptives as medication for menorrhagia. She underwent diagnostic hysteroscopy with endometrial ablation with roller ball to cure menorrhagia 5 years back, and since then, she has had no menstrual bleeding. The patient was hypertensive for the last 5 years and was on medication for that. The patient also complained of frequent urinary tract infections.
Family history revealed consanguineous marriage between her parents. Pedigree analysis of the family revealed that the patient's father, mother, maternal and paternal uncles, and one of her three brothers were also suffering from vWD.
Past dental history revealed extraction of six teeth in the past and there was history of blood transfusions before each extraction which were continued even after the extractions till the bleeding stopped, i.e. six times in a month.