Haemophilia a D66.D6

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 25.05.2025

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Synonym(s)

Hemophilia; hemophilia A

History
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Otto, 1803; Hopff, 1828

Definition
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Hereditary activity deficiency of factor VIII (anti-hemophilic globulin).

Occurrence/Epidemiology
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Proportion of all haemophilia diseases: approx. 75%. Incidence (Federal Republic of Germany): 1/5.000 men.

Etiopathogenesis
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X-linked recessive mutations of the HEMA coagulation factor VIII gene (HEMA gene; F8 gene; gene locus: Xq28).

Manifestation
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Mostly occurring in men. Women are conductors.

Clinic
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Small area bleeding after minor trauma. Characteristic recurrent bleeding in muscles and joints with subsequent muscular atrophies and contractures, joint stiffening. More frequent spontaneous haemorrhaging in severe haemophilia in adolescence (great urge to move), rare in moderately severe haemophilia.

Laboratory
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Severe hemophilia: Factor VIII < 1%. Moderate hemophilia: Factor VIII 1-4%. Mild hemophilia: Factor VIII 5-25%. Subhaemophilic haemophilia: Factor VIII 25-45%.

Normal bleeding time; prolonged clotting time; normal Quick value; reduced prothrombin consumption.

Therapy
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Substitution of factor VIII.

Literature
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  1. Hopff (1828) On haemophilia or the hereditary predisposition to fatal bleeding Dissertation, University of Zurich
  2. Otto JC (1803) An account of an hemorrhagic disposition existing in certain families. Med Repository 6: 1-4

Outgoing links (1)

F8 gene;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 25.05.2025