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Munira Borhany: Moving Beyond Stereotypes in the Diagnosis of Bleeding Disorders
Munira Borhany/LinkedIn
Feb 19, 2026, 14:59

Munira Borhany: Moving Beyond Stereotypes in the Diagnosis of Bleeding Disorders

Munira Borhany, Hematologist/hemato‐oncologist at Dr. Ziauddin Hospital and Midciti Hospital, shared a post on LinkedIn about a recent article she and her colleagues co-authored, adding:

“Von Willebrand disease (VWD) is the most common inherited bleeding disorder but remains under-recognised, particularly among women and girls.

In our recently published study of patients treated at Hemophilia Welfare Society Karachi, we evaluated subtype distribution, bleeding severity, and treatment outcomes.

Key findings:

  • Type 3 VWD carried the highest clinical burden, with very frequent and severe bleeding.
  • Mucocutaneous bleeding, especially gum bleeding, was highly prevalent.
  • Joint bleeding significantly affected severe cases.
  • 63% of females experienced heavy menstrual bleeding (HMB).

Heavy menstrual bleeding and Iron Deficiency Anemia (IDA) are too often normalised or dismissed. They are not ‘just periods’. They may be the first clinical marker of an inherited bleeding disorder.

Using structured assessment with ISTH-BAT bleeding scores and individualised management, we observed:

  • Reduction in annual bleeding rates
  • Improvement in hemoglobin levels
  • Better joint outcomes
  • Enhanced psychological well-being

Bleeding disorders are not only about boys with joint bleeds.

Women bleed too. Girls bleed too.

Early diagnosis – particularly in patients presenting with HMB and IDA – is critical. Comprehensive, gender-sensitive screening and timely treatment are essential to improve outcomes and quality of life, especially in resource-limited LMIC settings.”

Title: Clinical Spectrum, Subtype Distribution, and Treatment Outcomes in von Willebrand Disease: A Prospective Study from a Hemophilia Treatment Center in Pakistan.

Authors: Munira Borhany, Heeba Qureshi, Nida Khurshid Ahmed, Maleeha Umair, Raheel Ahmed

Read the Full Article on Sage Journals.

Munira Borhany: Moving Beyond Stereotypes in the Diagnosis of Bleeding Disorders

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Acquired von Willebrand disease bleeding disorders Health Heeba Qureshi Hematology Hemostasis Hemostasis News Hemostasis Today Iron-Deficiency Anemia Maleeha Umair Medicine Munira Borhany Nida Khurshid Ahmed Raheel Ahmed Sage Journals VWD
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