Type III von Willebrand's disease (vWD) was diagnosed in 38 Dutch kooi
ker dogs. Ten male and 9 female probands had been referred independent
ly of each other to the Utrecht University Clinic for Companion Animal
s because of a moderate to severe bleeding tendency. Screening of 717
Dutch kooiker dogs, including 356 puppies, detected vWD in another 19
dogs. Diagnosis was based on non-detectable amounts (< 1.6%) of von Wi
llebrand factor antigen (vWF:Ag) in plasma by ELISA. Capillary bleedin
g time (CBT) was prolonged (> 10 min) and polybrene cofactor activity
(vWF:PbCo) was not detectable in 11 dogs tested. No distinguishable pr
otein bands were detected by multimer analysis. As in Scottish terrier
s with type III VWD, factor VIII clotting activity (F-VIII:C) in affec
ted Dutch kooiker dogs was decreased but considerably less than in hum
ans with type III vWD. A recessive mode of inheritance was indicated b
y the normal or subnormal but measurable amounts of vWF:Ag in the plas
ma of eight pairs of parents of affected dogs. The F-1 offspring resul
ting from the experimental mating of two affected dogs consisted of th
ree affected males and four affected females. In 39 obligatory carrier
s vWF:Ag ranged from 30% to 114% with median and mean vWF values of 64
% and 64.2%, respectively, and was subnormal (< 50%) in only 9 animals
.