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Haemophilia A

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195:. These signs often prompt blood tests that confirm the presence of haemophilia. In individuals, especially those with moderate or mild haemophilia, any form of trauma can trigger the first significant bleed. Haemophilia substantially elevates the risk of protracted bleeding from ordinary injuries, and in severe cases, bleeding can occur spontaneously without an apparent cause. Bleeding episodes can manifest anywhere in the body. Superficial bleeding resulting from abrasions or shallow lacerations may persist, with scabs easily breaking due to the deficiency of 257:. The symptoms depend on the severity of haemophilia. In the case of severe haemophilia, patients may complain of multiple oral bleeding episodes throughout their life. Haemophilia patients are considered to be a special group of patients as routinely done procedures may be fatal in them. It was seen that almost 14% of all haemophilia patients and 30% of cases with a mild type of haemophilia have been diagnosed early following an episode of severe oral bleeding, of which the most common sites were the labial frenum and the tongue. 331: 323: 266: 433: 504:
haematoma in the retromolar or pterygoid space. The intraligamental technique or interosseous technique should be considered instead of the mandibular block. Articaine has been used as a buccal infiltration to anaesthetize the lower molar teeth. A lingual infiltration also requires appropriate factor replacement since the injection is into an area with a rich plexus of blood vessels and the needle is not adjacent to bone.
57: 2150: 577:. In the latest study which followed patients from 1992 to 2001, the male life expectancy was 59 years. If cases with known viral infections were excluded, the life expectancy was 72, close to that of the general population. 26% of the cases died from AIDS and 22% from hepatitis C. However, these statistics for prognosis are unreliable as there has been marked improvement of 441: 470:(VWF) independent, recombinant DNA-derived Factor VIII (FVIII) concentrate shown to prevent bleeding in children and adults. Treatment dosing and frequency of plasma concentrate Factor VIII may be variable and individually determined; dosing of efanesoctocog alfa shown effective is an IV injection of once-weekly 50 IU per kilogram of body weight. 303:, while the remainder are affected because they produce factor VIII in insufficient amounts (quantitative deficiency). Of those who have severe deficiency (defined as <1% activity of factor VIII), 45-50% have the same mutation, an inversion within the factor VIII gene that results in total elimination of protein production. 176: 379:
There are numerous different mutations which can cause haemophilia A, due to differences in changes to the factor VIII gene (and the resulting protein). Individuals with haemophilia often have some level of active clotting factor. Individuals with less than 1% active factor are classified as having
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has been made available to determine an individual's risk of attaining or passing on haemophilia. Diagnosis of haemophilia A also includes a severity level, which can range from mild to severe based on the amount of active and functioning factor VIII detected in the blood. Factor VIII levels do not
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If numbing is necessary for dental procedures, the nerve block (typically to the inferior alveolar nerve) should only be given after raising clotting factor levels by appropriate replacement therapy, as there is a risk of bleeding into the muscles along with potential airway compromise due to a
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antibiotics but sometimes the device must be removed, also, there are other studies that show a risk of clots forming at the tip of the catheter, rendering it useless. Some individuals with severe haemophilia, and most with moderate and mild haemophilia, treat only as needed without a regular
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Haemophilia A's phenotype has a quite wide range of symptoms encompassing both internal and external bleeding episodes. Individuals with more severe haemophilia tend to experience more intense and frequent bleeding, whereas those with mild haemophilia typically exhibit milder symptoms unless
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von Drygalski, Annette; Chowdary, Pratima; Kulkarni, Roshni; Susen, Sophie; Konkle, Barbara A.; Oldenburg, Johannes; Matino, Davide; Klamroth, Robert; Weyand, Angela C.; Jimenez-Yuste, Victor; Nogami, Keiji; Poloskey, Stacey; Winding, Bent; Willemze, Annemieke; Knobe, Karin (2023-01-26).
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Malec, Lynn; Peyvandi, Flora; Chan, Anthony K.C.; Königs, Christoph; Zulfikar, Bulent; Yuan, Huixing; Simpson, Mindy; Álvarez RomĂĄn, Maria Teresa; Carcao, Manuel; Staber, Janice M.; Dunn, Amy L.; Chou, Sheng-Chieh; d’Oiron, Roseline; Albisetti, Manuela; Demissie, Marek (2024-07-18).
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Malec, Lynn; Peyvandi, Flora; Chan, Anthony K.C.; Königs, Christoph; Zulfikar, Bulent; Yuan, Huixing; Simpson, Mindy; Álvarez Romån, Maria Teresa; Carcao, Manuel; Staber, Janice M.; Dunn, Amy L.; Chou, Sheng-Chieh; d'Oiron, Roseline; Albisetti, Manuela; Demissie, Marek (2024-07-18).
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typically change throughout an individual's lifetime. Severe haemophilia A is the most common severity, occurring in the majority of affected people. Individuals with mild haemophilia often experience few or no bleeding episodes except in the case of serious
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Plug, I.; Van Der Bom, J. G.; Peters, M.; Mauser-Bunschoten, E. P.; De Goede-Bolder, A.; Heijnen, L.; Smit, C.; Willemse, J.; Rosendaal, F. R. (2006-03-01). "Mortality and causes of death in patients with hemophilia, 1992–2001: a prospective cohort study1".
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Konkle, Barbara A.; Josephson, Neil C.; Nakaya Fletcher, Shelley (1993-01-01). Pagon, Roberta A.; Adam, Margaret P.; Ardinger, Holly H.; Wallace, Stephanie E.; Amemiya, Anne; Bean, Lora J.H.; Bird, Thomas D.; Fong, Chin-To; Mefford, Heather C. (eds.).
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several times a week are eliminated. However, there are risks involved with their use, the most worrisome being that of infection, studies differ but some show an infection rate that is high. These infections can usually be treated with
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Sonu Acharya, Karishma Rathore, Upasana Mahapatra, Sashikant Sethi, Nikita Sahu (2018). "An unusual oral manifestation of hemophilia in a child". Journal of International Oral Health. Retrieved 2019-12-20.
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Rangarajan, Savita; Walsh, Liron; Lester, Will; Perry, David; Madan, Bella; Laffan, Michael; Yu, Hua; Vettermann, Christian; Pierce, Glenn F.; Wong, Wing Y.; Pasi, K. John (16 December 2017).
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Collins, Peter; Baudo, Francesco; Huth-KĂŒhne, Angela; Ingerslev, JĂžrgen; Kessler, Craig M; Castellano, Maria E Mingot; Shima, Midori; St-Louis, Jean; LĂ©vesque, HervĂ© (7 June 2010).
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Haemophilia A occurs in approximately 1 in 5,000 males, while the incidence of haemophilia B is 1 in 30,000 in the male population, of these, 85% have haemophilia A and 15% have
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Since both forms of haemophilia can be caused by a variety of different mutations, initial diagnosis and classification is done by measurement of protein activity rather than by
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subjected to surgical procedures or significant trauma. Those with moderate haemophilia may display variable symptoms, falling within the spectrum between severe and mild forms.
148:, thereby resulting in significant susceptibility to bleeding, both internally and externally. This condition occurs almost exclusively in males born to carrier mothers due to 1919:
Kellogg, TF (November 1974). "Steroid balance and tissue cholesterol accumulation in germfree and conventional rats fed diets containing saturated and polyunsaturated fats".
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antibodies against factor VIII due to frequent infusions. These develop as the body recognises the infused factor VIII as foreign, as the body does not produce its own
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Andrew Brewer, Maria Elvira Correa (May 2006). "Guildelines for Dental Treatment of Patients with Inherited Bleeding Disorders" (PDF). Treatment of Hemophilia.
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females (which is only possible in the daughters of a haemophilic male and a carrier or haemophiliac female). However, mild haemophilia A is known to occur in
3012: 2823: 350:. PTT tests are the first blood test done when haemophilia is indicated. However, the diagnosis is made in the presence of very low levels of factor VIII. A 1540: 2872: 2182: 3319: 3167: 612: 545:
recombinant protein, prophylaxis for children with severe hemophilia A could have therapeutic benefit leading to effective bleeding prevention.
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Triemstra, Mattanja (1995-12-01). "Mortality in Patients with Hemophilia: Changes in a Dutch Population from 1986 to 1992 and 1973 to 1986".
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of haemophilia is identified. Approximately 30% of patients have no family history; their disease is presumably caused by new mutations.
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The oral manifestations are characterized by frequent bleeding of multiple sites, frequently seen as gingival and postextraction
3324: 245:, can be infused as a treatment for haemorrhage in individuals with haemophilia and antibodies against replacement factor VIII. 2943: 1756:
Casana, P.; Cabrera, N.; Cid, A. R.; Haya, S.; Beneyto, M.; Espinos, C.; Cortina, V.; Dasi, M. A.; Aznar, J. A. (2008-07-01).
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This article is about the bleeding disorder with factor VIII deficiency. For the disorder with factor IX deficiency, see
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In children, an easily accessible intravenous port may have to be inserted to minimise frequent traumatic intravenous
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be measured in all known or potential carriers prior to surgery and in the event of clinically significant bleeding.
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Coppola, Antonio; Windyga, Jerzy; Tufano, Antonella; Yeung, Cindy; Di Minno, Matteo Nicola Dario (9 February 2015).
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About 5-10% of people with haemophilia A are affected because they make a dysfunctional version of the
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Two Dutch studies have followed haemophilia patients for a number of years. Both studies found that
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Protein structure of coagulation factor VIII, of which its deficiency is the cause of haemophilia A.
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The medical management of individuals with hemophilia A frequently entails the administration of
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The diagnosis of haemophilia A may be suspected as coagulation testing reveals an increased
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Armstrong, Elina; Hillarp, Andreas (2014). "Assay discrepancy in mild haemophilia A".
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Lissauer, Tom; Fanaroff, Avroy A.; Miall, Lawrence; Fanaroff, Jonathan (2015-06-10).
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in haemophilia much easier for families because the problems of finding a vein for
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Most individuals with severe haemophilia require regular supplementation with
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prophylactic schedule. Mild haemophiliacs often manage their condition with
409: 310:, though genetic tests are recommended for testing of family members once a 293: 192: 17: 1977: 1911: 1872: 1791: 1774: 1757: 1730: 1517: 1508: 1454: 1399: 1334: 1260: 1030: 943: 873: 671: 1940: 1665: 1575: 1498: 1167: 1127: 2719: 2673: 2658: 2517: 2348: 2206: 1614: 1536: 1373: 1234: 482: 274: 254: 2007: 1358:"The use of desmopressin in acquired haemophilia A: a systematic review" 440: 2678: 759: 368: 1961: 1560:"Efanesoctocog Alfa Prophylaxis for Children with Severe Hemophilia A" 1152:"Efanesoctocog Alfa Prophylaxis for Children with Severe Hemophilia A" 1112:"Efanesoctocog Alfa Prophylaxis for Patients with Severe Hemophilia A" 1012: 512:
In December 2017, it was reported that doctors had used a new form of
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One common early indicator of haemophilia is prolonged bleeding from
1086:"Von Willebrand's Disease. About Von Willebrand's Disease | Patient" 495:, a drug which releases stored factor VIII from blood vessel walls. 1189:
Ma, Alice D.; Roberts, Harold R.; Escobar, Miguel A. (2012-10-03).
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has been approved by the FDA in 2017 for therapy of hemophilia A.
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Haemophilia and Haemostasis: A Case-based Approach to Management
840:"Acquired Factor VIII Inhibitors: Pathophysiology and Treatment" 3346: 2844: 2805: 2178: 1597:
Chowdary, Pratima (2024-07-18). Phimister, Elizabeth G. (ed.).
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have between 5–40% of normal levels of active clotting factor.
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Hemophilia and Hemostasis: A Case-Based Approach to Management
722:"Haemophilia A (Factor VIII Deficiency) information | Patient" 566: 1429:"Groundbreaking gene therapy trial set to cure haemophilia A" 898:
Nair, Preethi S.; Shetty, S.; Ghosh, Kanjaksha (2012-01-01).
974:(19th ed.). Philadelphia: Saunders. pp. 1700–1. 354:
is frequently present, although not essential. Recently,
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Santagostino, Elena; Mancuso, Maria Elisa (2008-09-01).
1482:"AAV5–Factor VIII Gene Transfer in Severe Hemophilia A" 292:, so it is recommended that levels of factor VIII and 997:"Haemophilia A and haemophilia B: molecular insights" 1997: 420:(needed for the proper functioning of Factor VIII); 3297: 3275: 3247: 3210: 3176: 3087: 2966: 2934: 2906: 2853: 2694: 2651: 2572: 2516: 2458: 2451: 2444: 2372: 2334: 2247: 2240: 2097: 2001: 666:. Seattle (WA): University of Washington, Seattle. 152:. Nevertheless, rare isolated cases do emerge from 116: 108: 98: 90: 80: 68: 46: 41: 1356:Franchini, Massimo; Lippi, Giuseppe (2011-10-01). 104:Bleeding time, coagulation screen, genetic testing 557:were common in haemophiliacs due to the frequent 694:"Hemophilia A: MedlinePlus Medical Encyclopedia" 229:One therapeutic conundrum is the development of 3023:Danon disease/glycogen storage disease Type IIb 1417:: 9 – via World Federation of Hemophilia (WFH). 749:(2009). Stuart MC, Kouimtzi M, Hill SR (eds.). 838:Ma, Alice D.; Carrizosa, Daniel (2006-01-01). 753:. World Health Organization. pp. 259–60. 533:In July 2024, a recent study published in the 3128:Color blindness (red and green, but not blue) 3113:Alpha-thalassemia mental retardation syndrome 2817: 2190: 1950:European Journal of Haematology. Supplementum 8: 3013:Glucose-6-phosphate dehydrogenase deficiency 1455:"Haemophilia A trial results 'mind-blowing'" 1045:"OMIM Entry - # 306700 - HEMOPHILIA A; HEMA" 241:, a protein in the extrinsic pathway of the 3343: 2841: 2824: 2810: 2802: 2455: 2448: 2244: 2197: 2183: 2175: 1998: 55: 38: 2873:X-linked severe combined immunodeficiency 1901: 1862: 1844: 1773: 1712: 1507: 1497: 1389: 1316: 1250: 1020: 965: 963: 961: 959: 957: 955: 953: 933: 915: 855: 815:"How Is Hemophilia Treated? - NHLBI, NIH" 758: 1650:10.7326/0003-4819-123-11-199512010-00002 1532:HEMLIBRA- emicizumab injection, solution 264: 112:Hepatitis B vaccine should be considered 3267:X-linked nephrogenic diabetes insipidus 3192:Hypohidrotic ectodermal dysplasia (EDA) 1886:Cochrane Database of Systematic Reviews 640: 613:Contaminated haemophilia blood products 86:Prolonged bleeding from common injuries 3202:X-linked endothelial corneal dystrophy 809: 807: 790:. John Wiley & Sons. p. 135. 3158:Charcot–Marie–Tooth disease (CMTX2-3) 2982:Ornithine transcarbamylase deficiency 2958:X-linked adrenal hypoplasia congenita 1693:Journal of Thrombosis and Haemostasis 1685: 1683: 716: 714: 688: 686: 684: 682: 654: 652: 650: 648: 646: 644: 384:, those with 1–5% active factor have 120:Factor VIII, factor VIII inhibitors, 7: 2893:X-linked lymphoproliferative disease 2863:Chronic granulomatous disease (CYBB) 561:which put them at risk of acquiring 3239:Emery–Dreifuss muscular dystrophy 1 2948:Spinal and bulbar muscular atrophy 900:"A homozygous female hemophilia A" 237:. In these individuals, activated 25: 3018:Pyruvate dehydrogenase deficiency 1799:Roberts, Harold R. (2008-04-15). 1541:U.S. National Library of Medicine 340:partial thromboplastin time (PTT) 273:Haemophilia A is inherited as an 3098:X-linked intellectual disability 2551:platelet storage pool deficiency 2503:Heparin-induced thrombocytopenia 2148: 1705:10.1111/j.1538-7836.2006.01808.x 1318:10.1111/j.1365-2141.2007.06703.x 904:Indian Journal of Human Genetics 2944:Androgen insensitivity syndrome 1603:New England Journal of Medicine 1564:New England Journal of Medicine 1486:New England Journal of Medicine 1156:New England Journal of Medicine 1116:New England Journal of Medicine 857:10.1182/asheducation-2006.1.432 585:since these studies were done. 535:New England Journal of Medicine 154:de novo (spontaneous) mutations 3320:Simpson–Golabi–Behmel syndrome 2270:Activated protein C resistance 1894:10.1002/14651858.cd009961.pub2 1305:British Journal of Haematology 269:X linked recessive inheritance 150:X-linked recessive inheritance 1: 3289:AMELX Amelogenesis imperfecta 3229:Centronuclear myopathy (MTM1) 2926:X-linked sideroblastic anemia 1545:National Institutes of Health 972:Nelson textbook of pediatrics 334:Haemarthrosis on lateral view 3440:X-linked recessive disorders 3315:Smith–Fineman–Myers syndrome 3163:Pelizaeus–Merzbacher disease 3057:Purine–pyrimidine metabolism 2364:Trousseau sign of malignancy 280:. It occurs in males and in 3435:Defects of enzyme cofactors 3405:Craniofrontonasal dysplasia 3330:Nasodigitoacoustic syndrome 2878:X-linked agammaglobulinemia 2684:Nonthrombocytopenic purpura 2260:Antithrombin III deficiency 1638:Annals of Internal Medicine 342:in the context of a normal 3461: 3400:Orofaciodigital syndrome 1 3234:Conradi–HĂŒnermann syndrome 2987:Oculocerebrorenal syndrome 2639:Congenital afibrinogenemia 2543:Glanzmann's thrombasthenia 2307:Essential thrombocythaemia 1299:Ljung, Rolf (2007-09-01). 844:ASH Education Program Book 477:. These devices have made 26: 3360:X-linked hypophosphatemia 3355: 3342: 3220:Becker muscular dystrophy 2883:Hyper-IgM syndrome type 1 2840: 2755:Gastrointestinal bleeding 2557:Hermansky–Pudlak syndrome 2326:Antiphospholipid syndrome 2217: 1921:Journal of Lipid Research 1805:. John Wiley & Sons. 1195:. John Wiley & Sons. 970:Kliegman, Robert (2011). 747:World Health Organization 416:which is a deficiency in 408:which is a deficiency in 63: 54: 3325:Mohr–TranebjĂŠrg syndrome 2868:Wiskott–Aldrich syndrome 2725:Subconjunctival bleeding 2715:Intracranial haemorrhage 2531:Bernard–Soulier syndrome 2494:Upshaw–Schulman syndrome 2468:Thrombocytopenic purpura 2297:Sticky platelet syndrome 751:WHO Model Formulary 2008 541:, a bioengineered human 516:to treat haemophilia A. 3365:Focal dermal hypoplasia 3079:Occipital horn syndrome 3008:Carbohydrate metabolism 1846:10.1186/1756-0500-3-161 917:10.4103/0971-6866.96685 787:Neonatology at a Glance 445:Recombinant factor VIII 400:Two of the most common 138:blood clotting disorder 3380:Incontinentia pigmenti 3187:Dyskeratosis congenita 3031:Lipid storage disorder 2953:KAL1 Kallmann syndrome 2629:Factor XIII deficiency 2609:Hypoprothrombinemia/II 2604:von Willebrand disease 2562:Gray platelet syndrome 1775:10.3324/haematol.12344 1433:Barts Health NHS Trust 563:blood borne infections 448: 437: 414:von Willebrand Disease 402:differential diagnoses 396:Differential diagnosis 335: 327: 270: 180: 161:factor VIII medication 94:Factor VIII deficiency 3103:Coffin–Lowry syndrome 3044:Mucopolysaccharidosis 2624:Factor XII deficiency 2614:Factor VII deficiency 2432:Renal vein thrombosis 1576:10.1056/NEJMoa2312611 1499:10.1056/NEJMoa1708483 1168:10.1056/NEJMoa2312611 1128:10.1056/NEJMoa2209226 583:anti-retroviral drugs 520:Monoclonal antibodies 499:Dental considerations 468:von Willebrand factor 443: 435: 418:von Willebrand factor 344:prothrombin time (PT) 333: 326:X-Ray- haemoarthritis 325: 268: 178: 165:intravenous injection 3395:Lujan–Fryns syndrome 3062:Lesch–Nyhan syndrome 3000:Adrenoleukodystrophy 2898:Properdin deficiency 2380:Deep vein thrombosis 2275:Protein S deficiency 2265:Protein C deficiency 1615:10.1056/NEJMe2313795 1374:10.2450/2011.0113-10 1235:10.2450/2008.0031-08 1229:(Suppl 2): s12–s16. 1207:Google books no page 424:is also considered. 386:moderate haemophilia 3197:X-linked ichthyosis 2745:Pulmonary haematoma 2619:Factor X deficiency 2508:May–Hegglin anomaly 2285:Prothrombin G20210A 1535:drug label/data at 1001:Molecular Pathology 995:Bowen, D J (2002). 525:Monoclonal antibody 447:for self-treatment. 301:factor VIII protein 249:Oral Manifestations 243:coagulation cascade 3370:Fragile X syndrome 3180:and related tissue 2847:X-linked recessive 2652:Signs and symptoms 2427:Pulmonary embolism 2232:Bleeding diathesis 2098:External resources 1833:BMC Research Notes 1461:. 14 December 2017 1435:. 14 December 2017 559:blood transfusions 539:efanesoctocog alfa 537:demonstrated that 464:efanesoctocog alfa 449: 438: 382:severe haemophilia 336: 328: 271: 181: 171:Signs and symptoms 142:genetic deficiency 3417: 3416: 3413: 3412: 3349:X-linked dominant 3338: 3337: 3298:No primary system 2799: 2798: 2795: 2794: 2647: 2646: 2634:Dysfibrinogenemia 2518:Platelet function 2440: 2439: 2319:Purpura fulminans 2143: 2142: 1962:10.1111/ejh.12374 1492:(26): 2519–2530. 1362:Blood Transfusion 1223:Blood Transfusion 1013:10.1136/mp.55.1.1 981:978-1-4377-0755-7 819:www.nhlbi.nih.gov 579:infection control 388:, and those with 127: 126: 100:Diagnostic method 36:Medical condition 16:(Redirected from 3452: 3375:Aicardi syndrome 3344: 2842: 2826: 2819: 2812: 2803: 2740:Haemopericardium 2460:Thrombocytopenia 2456: 2449: 2405:Lowenberg's sign 2255:Clotting factors 2245: 2199: 2192: 2185: 2176: 2152: 2151: 1999: 1989: 1944: 1915: 1905: 1876: 1866: 1848: 1823: 1821: 1819: 1795: 1777: 1768:(7): 1091–1094. 1743: 1742: 1716: 1687: 1678: 1677: 1633: 1627: 1626: 1594: 1588: 1587: 1554: 1548: 1528: 1522: 1521: 1511: 1501: 1477: 1471: 1470: 1468: 1466: 1451: 1445: 1444: 1442: 1440: 1425: 1419: 1410: 1404: 1403: 1393: 1353: 1347: 1346: 1320: 1296: 1290: 1289: 1287: 1285: 1271: 1265: 1264: 1254: 1214: 1208: 1206: 1186: 1180: 1179: 1146: 1140: 1139: 1106: 1100: 1099: 1097: 1096: 1082: 1076: 1065: 1059: 1058: 1056: 1055: 1041: 1035: 1034: 1024: 992: 986: 985: 967: 948: 947: 937: 919: 895: 889: 884: 878: 877: 859: 835: 829: 828: 826: 825: 811: 802: 801: 781: 775: 774: 762: 743: 737: 736: 734: 732: 718: 709: 708: 706: 704: 690: 677: 675: 656: 581:and efficacy of 555:viral infections 390:mild haemophilia 365:tooth extraction 59: 39: 21: 3460: 3459: 3455: 3454: 3453: 3451: 3450: 3449: 3420: 3419: 3418: 3409: 3351: 3334: 3310:McLeod syndrome 3293: 3271: 3257:Alport syndrome 3243: 3206: 3172: 3133:Ocular albinism 3083: 3049:Hunter syndrome 2962: 2930: 2902: 2849: 2836: 2830: 2800: 2791: 2765:Haemoperitoneum 2690: 2643: 2574:Clotting factor 2568: 2512: 2436: 2385:Bancroft's sign 2368: 2359:Virchow's triad 2330: 2280:Factor V Leiden 2236: 2213: 2203: 2173: 2172: 2171: 2153: 2149: 2144: 2139: 2138: 2093: 2092: 2010: 1996: 1947: 1918: 1888:(2): CD009961. 1879: 1826: 1817: 1815: 1813: 1798: 1755: 1752: 1750:Further reading 1747: 1746: 1689: 1688: 1681: 1635: 1634: 1630: 1596: 1595: 1591: 1556: 1555: 1551: 1529: 1525: 1479: 1478: 1474: 1464: 1462: 1453: 1452: 1448: 1438: 1436: 1427: 1426: 1422: 1411: 1407: 1355: 1354: 1350: 1298: 1297: 1293: 1283: 1281: 1273: 1272: 1268: 1216: 1215: 1211: 1203: 1188: 1187: 1183: 1148: 1147: 1143: 1108: 1107: 1103: 1094: 1092: 1084: 1083: 1079: 1066: 1062: 1053: 1051: 1043: 1042: 1038: 994: 993: 989: 982: 969: 968: 951: 897: 896: 892: 885: 881: 837: 836: 832: 823: 821: 813: 812: 805: 798: 783: 782: 778: 771: 745: 744: 740: 730: 728: 720: 719: 712: 702: 700: 698:www.nlm.nih.gov 692: 691: 680: 658: 657: 642: 637: 632: 603: 591: 551: 522: 510: 501: 430: 398: 377: 356:genetic testing 320: 288:females due to 278:recessive trait 263: 251: 227: 214:Digestive tract 173: 37: 32: 23: 22: 15: 12: 11: 5: 3458: 3456: 3448: 3447: 3445:Coagulopathies 3442: 3437: 3432: 3422: 3421: 3415: 3414: 3411: 3410: 3408: 3407: 3402: 3397: 3392: 3390:CHILD syndrome 3387: 3382: 3377: 3372: 3367: 3362: 3356: 3353: 3352: 3347: 3340: 3339: 3336: 3335: 3333: 3332: 3327: 3322: 3317: 3312: 3307: 3305:Barth syndrome 3301: 3299: 3295: 3294: 3292: 3291: 3285: 3283: 3273: 3272: 3270: 3269: 3264: 3262:Dent's disease 3259: 3253: 3251: 3245: 3244: 3242: 3241: 3236: 3231: 3226: 3216: 3214: 3208: 3207: 3205: 3204: 3199: 3194: 3189: 3183: 3181: 3174: 3173: 3171: 3170: 3165: 3160: 3151: 3150: 3145: 3143:Norrie disease 3140: 3130: 3125:Eye disorders: 3121: 3120: 3115: 3110: 3105: 3093: 3091: 3089:Nervous system 3085: 3084: 3082: 3081: 3075:Menkes disease 3065: 3064: 3052: 3051: 3039: 3038: 3026: 3025: 3020: 3015: 3003: 3002: 2990: 2989: 2984: 2972: 2970: 2964: 2963: 2961: 2960: 2955: 2950: 2940: 2938: 2932: 2931: 2929: 2928: 2923: 2918: 2912: 2910: 2904: 2903: 2901: 2900: 2895: 2890: 2885: 2880: 2875: 2870: 2865: 2859: 2857: 2851: 2850: 2845: 2838: 2837: 2831: 2829: 2828: 2821: 2814: 2806: 2797: 2796: 2793: 2792: 2790: 2789: 2788: 2787: 2779: 2778: 2777: 2775:Haematosalpinx 2772: 2767: 2762: 2757: 2749: 2748: 2747: 2742: 2737: 2729: 2728: 2727: 2722: 2717: 2712: 2707: 2698: 2696: 2692: 2691: 2689: 2688: 2687: 2686: 2676: 2671: 2666: 2661: 2655: 2653: 2649: 2648: 2645: 2644: 2642: 2641: 2636: 2631: 2626: 2621: 2616: 2611: 2606: 2601: 2600: 2599: 2594: 2589: 2578: 2576: 2570: 2569: 2567: 2566: 2565: 2564: 2559: 2547: 2546: 2545: 2535: 2534: 2533: 2522: 2520: 2514: 2513: 2511: 2510: 2505: 2499: 2498: 2497: 2496: 2491: 2481: 2480: 2479: 2477:Evans syndrome 2464: 2462: 2453: 2446: 2442: 2441: 2438: 2437: 2435: 2434: 2429: 2424: 2423: 2422: 2417: 2412: 2410:Peabody's sign 2407: 2402: 2397: 2392: 2387: 2376: 2374: 2370: 2369: 2367: 2366: 2361: 2356: 2351: 2346: 2340: 2338: 2332: 2331: 2329: 2328: 2323: 2322: 2321: 2311: 2310: 2309: 2304: 2302:Thrombocytosis 2299: 2289: 2288: 2287: 2282: 2277: 2272: 2267: 2262: 2251: 2249: 2242: 2238: 2237: 2235: 2234: 2229: 2224: 2218: 2215: 2214: 2204: 2202: 2201: 2194: 2187: 2179: 2154: 2147: 2146: 2145: 2141: 2140: 2137: 2136: 2125: 2114: 2102: 2101: 2099: 2095: 2094: 2091: 2090: 2079: 2068: 2057: 2042: 2027: 2011: 2006: 2005: 2003: 2002:Classification 1995: 1994:External links 1992: 1991: 1990: 1945: 1916: 1877: 1824: 1811: 1796: 1751: 1748: 1745: 1744: 1699:(3): 510–516. 1679: 1628: 1609:(3): 277–282. 1589: 1570:(3): 235–246. 1549: 1523: 1472: 1446: 1420: 1405: 1368:(4): 377–382. 1348: 1311:(5): 580–586. 1291: 1266: 1209: 1201: 1181: 1162:(3): 235–246. 1141: 1122:(4): 310–318. 1101: 1077: 1060: 1036: 987: 980: 949: 910:(1): 134–136. 890: 879: 850:(1): 432–437. 830: 803: 796: 776: 769: 738: 710: 678: 639: 638: 636: 633: 631: 630: 625: 620: 615: 610: 604: 602: 599: 590: 587: 550: 547: 521: 518: 509: 506: 500: 497: 429: 426: 397: 394: 376: 373: 352:family history 319: 316: 290:X-inactivation 262: 259: 250: 247: 226: 223: 222: 221: 216: 211: 206: 172: 169: 125: 124: 118: 114: 113: 110: 106: 105: 102: 96: 95: 92: 88: 87: 84: 78: 77: 72: 66: 65: 61: 60: 52: 51: 48: 44: 43: 35: 24: 14: 13: 10: 9: 6: 4: 3: 2: 3457: 3446: 3443: 3441: 3438: 3436: 3433: 3431: 3428: 3427: 3425: 3406: 3403: 3401: 3398: 3396: 3393: 3391: 3388: 3386: 3385:Rett syndrome 3383: 3381: 3378: 3376: 3373: 3371: 3368: 3366: 3363: 3361: 3358: 3357: 3354: 3350: 3345: 3341: 3331: 3328: 3326: 3323: 3321: 3318: 3316: 3313: 3311: 3308: 3306: 3303: 3302: 3300: 3296: 3290: 3287: 3286: 3284: 3282: 3278: 3274: 3268: 3265: 3263: 3260: 3258: 3255: 3254: 3252: 3250: 3246: 3240: 3237: 3235: 3232: 3230: 3227: 3225: 3221: 3218: 3217: 3215: 3213: 3212:Neuromuscular 3209: 3203: 3200: 3198: 3195: 3193: 3190: 3188: 3185: 3184: 3182: 3179: 3175: 3169: 3166: 3164: 3161: 3159: 3156: 3153: 3152: 3149: 3148:Choroideremia 3146: 3144: 3141: 3138: 3134: 3131: 3129: 3126: 3123: 3122: 3119: 3116: 3114: 3111: 3109: 3108:MASA syndrome 3106: 3104: 3101: 3099: 3095: 3094: 3092: 3090: 3086: 3080: 3076: 3073: 3071: 3067: 3066: 3063: 3060: 3058: 3054: 3053: 3050: 3047: 3045: 3041: 3040: 3037: 3036:Fabry disease 3033: 3032: 3028: 3027: 3024: 3021: 3019: 3016: 3014: 3011: 3009: 3005: 3004: 3001: 2998: 2996: 2992: 2991: 2988: 2985: 2983: 2980: 2978: 2974: 2973: 2971: 2969: 2965: 2959: 2956: 2954: 2951: 2949: 2945: 2942: 2941: 2939: 2937: 2933: 2927: 2924: 2922: 2921:Haemophilia B 2919: 2917: 2916:Haemophilia A 2914: 2913: 2911: 2909: 2905: 2899: 2896: 2894: 2891: 2889: 2886: 2884: 2881: 2879: 2876: 2874: 2871: 2869: 2866: 2864: 2861: 2860: 2858: 2856: 2852: 2848: 2843: 2839: 2834: 2827: 2822: 2820: 2815: 2813: 2808: 2807: 2804: 2786: 2785:Haemarthrosis 2783: 2782: 2780: 2776: 2773: 2771: 2768: 2766: 2763: 2761: 2758: 2756: 2753: 2752: 2750: 2746: 2743: 2741: 2738: 2736: 2733: 2732: 2730: 2726: 2723: 2721: 2718: 2716: 2713: 2711: 2708: 2706: 2703: 2702: 2700: 2699: 2697: 2693: 2685: 2682: 2681: 2680: 2677: 2675: 2672: 2670: 2667: 2665: 2662: 2660: 2657: 2656: 2654: 2650: 2640: 2637: 2635: 2632: 2630: 2627: 2625: 2622: 2620: 2617: 2615: 2612: 2610: 2607: 2605: 2602: 2598: 2595: 2593: 2590: 2588: 2585: 2584: 2583: 2580: 2579: 2577: 2575: 2571: 2563: 2560: 2558: 2555: 2554: 2553: 2552: 2548: 2544: 2541: 2540: 2539: 2536: 2532: 2529: 2528: 2527: 2524: 2523: 2521: 2519: 2515: 2509: 2506: 2504: 2501: 2500: 2495: 2492: 2490: 2487: 2486: 2485: 2482: 2478: 2475: 2474: 2473: 2469: 2466: 2465: 2463: 2461: 2457: 2454: 2450: 2447: 2443: 2433: 2430: 2428: 2425: 2421: 2418: 2416: 2413: 2411: 2408: 2406: 2403: 2401: 2400:Louvel's sign 2398: 2396: 2395:Lisker's sign 2393: 2391: 2388: 2386: 2383: 2382: 2381: 2378: 2377: 2375: 2371: 2365: 2362: 2360: 2357: 2355: 2352: 2350: 2347: 2345: 2344:Thrombophilia 2342: 2341: 2339: 2337: 2333: 2327: 2324: 2320: 2317: 2316: 2315: 2312: 2308: 2305: 2303: 2300: 2298: 2295: 2294: 2293: 2290: 2286: 2283: 2281: 2278: 2276: 2273: 2271: 2268: 2266: 2263: 2261: 2258: 2257: 2256: 2253: 2252: 2250: 2246: 2243: 2239: 2233: 2230: 2228: 2225: 2223: 2220: 2219: 2216: 2212: 2208: 2205:Disorders of 2200: 2195: 2193: 2188: 2186: 2181: 2180: 2177: 2169: 2168: 2167: 2166:Haemophilia A 2161: 2157: 2135: 2134:Haemophilia A 2131: 2130: 2126: 2124: 2120: 2119: 2115: 2113: 2109: 2108: 2104: 2103: 2100: 2096: 2089: 2085: 2084: 2080: 2078: 2074: 2073: 2069: 2067: 2063: 2062: 2058: 2056: 2052: 2051: 2047: 2043: 2041: 2037: 2036: 2032: 2028: 2026: 2022: 2021: 2017: 2013: 2012: 2009: 2004: 2000: 1993: 1987: 1983: 1979: 1975: 1971: 1967: 1963: 1959: 1955: 1951: 1946: 1942: 1938: 1934: 1930: 1926: 1922: 1917: 1913: 1909: 1904: 1899: 1895: 1891: 1887: 1883: 1878: 1874: 1870: 1865: 1860: 1856: 1852: 1847: 1842: 1838: 1834: 1830: 1825: 1814: 1812:9780470766439 1808: 1804: 1803: 1797: 1793: 1789: 1785: 1781: 1776: 1771: 1767: 1763: 1762:Haematologica 1759: 1754: 1753: 1749: 1740: 1736: 1732: 1728: 1724: 1720: 1715: 1710: 1706: 1702: 1698: 1694: 1686: 1684: 1680: 1675: 1671: 1667: 1663: 1659: 1655: 1651: 1647: 1644:(11): 823–7. 1643: 1639: 1632: 1629: 1624: 1620: 1616: 1612: 1608: 1604: 1600: 1593: 1590: 1585: 1581: 1577: 1573: 1569: 1565: 1561: 1553: 1550: 1546: 1542: 1538: 1534: 1533: 1527: 1524: 1519: 1515: 1510: 1509:10044/1/57163 1505: 1500: 1495: 1491: 1487: 1483: 1476: 1473: 1460: 1456: 1450: 1447: 1434: 1430: 1424: 1421: 1418: 1416: 1409: 1406: 1401: 1397: 1392: 1387: 1383: 1379: 1375: 1371: 1367: 1363: 1359: 1352: 1349: 1344: 1340: 1336: 1332: 1328: 1324: 1319: 1314: 1310: 1306: 1302: 1295: 1292: 1280: 1276: 1270: 1267: 1262: 1258: 1253: 1248: 1244: 1240: 1236: 1232: 1228: 1224: 1220: 1213: 1210: 1204: 1202:9781118439302 1198: 1194: 1193: 1185: 1182: 1177: 1173: 1169: 1165: 1161: 1157: 1153: 1145: 1142: 1137: 1133: 1129: 1125: 1121: 1117: 1113: 1105: 1102: 1091: 1087: 1081: 1078: 1075: 1071: 1070: 1064: 1061: 1050: 1046: 1040: 1037: 1032: 1028: 1023: 1018: 1014: 1010: 1006: 1002: 998: 991: 988: 983: 977: 973: 966: 964: 962: 960: 958: 956: 954: 950: 945: 941: 936: 931: 927: 923: 918: 913: 909: 905: 901: 894: 891: 888: 883: 880: 875: 871: 867: 863: 858: 853: 849: 845: 841: 834: 831: 820: 816: 810: 808: 804: 799: 797:9781118767429 793: 789: 788: 780: 777: 772: 770:9789241547659 766: 761: 756: 752: 748: 742: 739: 727: 723: 717: 715: 711: 699: 695: 689: 687: 685: 683: 679: 673: 669: 665: 664: 655: 653: 651: 649: 647: 645: 641: 634: 629: 628:Haemophilia C 626: 624: 623:Haemophilia B 621: 619: 616: 614: 611: 609: 606: 605: 600: 598: 596: 595:haemophilia B 588: 586: 584: 580: 576: 572: 568: 564: 560: 556: 548: 546: 544: 540: 536: 531: 529: 526: 519: 517: 515: 507: 505: 498: 496: 494: 489: 484: 480: 476: 471: 469: 465: 461: 457: 454: 446: 442: 434: 427: 425: 423: 422:haemophilia C 419: 415: 411: 407: 406:haemophilia B 403: 395: 393: 391: 387: 383: 374: 372: 370: 366: 362: 357: 353: 349: 348:bleeding time 345: 341: 332: 324: 317: 315: 313: 309: 308:genetic tests 304: 302: 297: 295: 291: 287: 283: 279: 276: 267: 260: 258: 256: 248: 246: 244: 240: 236: 232: 225:Complications 224: 220: 217: 215: 212: 210: 207: 205: 202: 201: 200: 198: 194: 190: 185: 179:Joint capsule 177: 170: 168: 166: 163:through slow 162: 157: 155: 151: 147: 143: 139: 135: 131: 130:Haemophilia A 123: 119: 115: 111: 107: 103: 101: 97: 93: 89: 85: 83: 79: 76: 73: 71: 67: 62: 58: 53: 49: 45: 42:Haemophilia A 40: 34: 30: 29:haemophilia B 19: 3154: 3124: 3096: 3068: 3055: 3042: 3029: 3006: 2995:Dyslipidemia 2993: 2975: 2915: 2586: 2549: 2537: 2525: 2415:Pratt's sign 2227:coagulopathy 2164: 2163: 2162:profile for 2159: 2127: 2116: 2105: 2081: 2070: 2059: 2044: 2029: 2014: 1953: 1949: 1927:(6): 574–9. 1924: 1920: 1885: 1836: 1832: 1816:. Retrieved 1801: 1765: 1761: 1696: 1692: 1641: 1637: 1631: 1606: 1602: 1592: 1567: 1563: 1552: 1530: 1526: 1489: 1485: 1475: 1463:. Retrieved 1458: 1449: 1437:. Retrieved 1432: 1423: 1414: 1412: 1408: 1365: 1361: 1351: 1308: 1304: 1294: 1282:. Retrieved 1278: 1269: 1226: 1222: 1212: 1191: 1184: 1159: 1155: 1144: 1119: 1115: 1104: 1093:. Retrieved 1089: 1080: 1069:Hemophilia A 1067: 1063: 1052:. Retrieved 1048: 1039: 1004: 1000: 990: 971: 907: 903: 893: 886: 882: 847: 843: 833: 822:. Retrieved 818: 786: 779: 750: 741: 729:. Retrieved 725: 701:. Retrieved 697: 663:Hemophilia A 662: 592: 589:Epidemiology 552: 532: 523: 514:gene therapy 511: 508:Gene therapy 502: 493:desmopressin 472: 458:concentrate 450: 436:Desmopressin 399: 389: 385: 381: 378: 337: 305: 298: 286:heterozygous 272: 255:haemorrhages 252: 234: 230: 228: 189:venepuncture 186: 182: 158: 144:in clotting 140:caused by a 134:hemophilia A 133: 129: 128: 50:Hemophilia A 33: 18:Hemophilia A 3430:Haemophilia 2908:Hematologic 2770:Haematocele 2735:Haemothorax 2710:Haemoptysis 2582:Haemophilia 2538:aggregation 2420:Rose's sign 2390:Homans sign 2222:Coagulation 2107:MedlinePlus 1465:14 December 1439:14 December 1279:www.cdc.gov 1007:(1): 1–18. 760:10665/44053 676:update 2014 608:Haemophilia 575:hepatitis C 571:hepatitis B 543:factor VIII 488:intravenous 479:prophylaxis 475:cannulation 460:factor VIII 453:intravenous 146:factor VIII 75:Haematology 47:Other names 3424:Categories 2977:Amino acid 2760:Haemobilia 2354:Thrombosis 2129:Patient UK 2083:DiseasesDB 1095:2016-07-08 1054:2016-07-08 824:2016-07-08 635:References 618:Ryan White 565:, such as 528:emicizumab 312:known case 282:homozygous 239:factor VII 193:heelpricks 122:emicizumab 109:Prevention 2968:Metabolic 2936:Endocrine 2835:disorders 2705:Epistaxis 2669:Haematoma 2292:Platelets 2123:emerg/239 2118:eMedicine 1986:205100329 1970:0902-4506 1956:: 48–50. 1933:0253-0716 1855:1756-0500 1784:0390-6078 1723:1538-7836 1714:1887/5021 1658:0003-4819 1623:0028-4793 1584:0028-4793 1382:1723-2007 1327:1365-2141 1243:1723-2007 1176:0028-4793 1136:0028-4793 1074:eMedicine 926:0971-6866 866:1520-4391 549:Prognosis 428:Treatment 410:Factor IX 318:Diagnosis 231:inhibitor 117:Treatment 70:Specialty 3249:Urologic 3224:Duchenne 2833:X-linked 2751:abdomen 2720:Hyphaema 2674:Petechia 2659:Bleeding 2526:adhesion 2452:By cause 2445:Bleeding 2349:Thrombus 2248:By cause 2241:Clotting 2211:clotting 2207:bleeding 1978:24957107 1912:25922858 1903:11245682 1873:20529258 1792:18403393 1739:13651790 1731:16460432 1674:22008880 1537:DailyMed 1518:29224506 1400:21839010 1343:25748135 1335:17686052 1261:19105504 1049:omim.org 1031:11836440 944:22754241 874:17124095 672:20301578 601:See also 483:infusion 375:Severity 275:X-linked 261:Genetics 82:Symptoms 3070:Mineral 2695:By site 2679:Purpura 2373:By site 2156:Scholia 2077:D006467 1941:4430880 1864:2896368 1839:: 161. 1666:7486463 1391:3200405 1252:2652218 1090:Patient 1022:1187139 935:3385172 731:24 June 726:Patient 703:24 June 369:surgery 209:Muscles 136:) is a 3155:Other: 2855:Immune 2781:joint 2731:torso 2664:Bruise 2587:A/VIII 2158:has a 2112:000538 2066:306700 1984:  1976:  1968:  1939:  1931:  1910:  1900:  1871:  1861:  1853:  1818:8 July 1809:  1790:  1782:  1737:  1729:  1721:  1672:  1664:  1656:  1621:  1582:  1516:  1398:  1388:  1380:  1341:  1333:  1325:  1284:8 July 1259:  1249:  1241:  1199:  1174:  1134:  1029:  1019:  978:  942:  932:  924:  872:  864:  794:  767:  670:  456:plasma 363:(i.e. 361:trauma 204:Joints 197:fibrin 91:Causes 3281:tooth 3168:SMAX2 2701:head 2336:Clots 2160:topic 2055:286.0 1982:S2CID 1735:S2CID 1670:S2CID 1539:from 1339:S2CID 367:, or 219:Brain 3277:Bone 3178:Skin 3118:PHF8 2888:IPEX 2597:C/XI 2592:B/IX 2209:and 2088:5555 2072:MeSH 2061:OMIM 2050:9-CM 2025:3B10 1974:PMID 1966:ISSN 1937:PMID 1929:ISSN 1908:PMID 1869:PMID 1851:ISSN 1820:2016 1807:ISBN 1788:PMID 1780:ISSN 1727:PMID 1719:ISSN 1662:PMID 1654:ISSN 1619:ISSN 1580:ISSN 1514:PMID 1467:2017 1441:2017 1396:PMID 1378:ISSN 1331:PMID 1323:ISSN 1286:2016 1257:PMID 1239:ISSN 1197:ISBN 1172:ISSN 1132:ISSN 1027:PMID 976:ISBN 940:PMID 922:ISSN 870:PMID 862:ISSN 848:2006 792:ISBN 765:ISBN 733:2016 705:2016 668:PMID 573:and 466:, a 412:and 404:are 346:and 235:copy 132:(or 2489:TTP 2472:ITP 2314:DIC 2046:ICD 2040:D66 2031:ICD 2016:ICD 1958:doi 1898:PMC 1890:doi 1859:PMC 1841:doi 1770:doi 1709:hdl 1701:doi 1646:doi 1642:123 1611:doi 1607:391 1572:doi 1568:391 1504:hdl 1494:doi 1490:377 1459:BBC 1386:PMC 1370:doi 1313:doi 1309:138 1247:PMC 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Index

Hemophilia A
haemophilia B

Specialty
Haematology
Symptoms
Diagnostic method
emicizumab
blood clotting disorder
genetic deficiency
factor VIII
X-linked recessive inheritance
de novo (spontaneous) mutations
factor VIII medication
intravenous injection

venepuncture
heelpricks
fibrin
Joints
Muscles
Digestive tract
Brain
factor VII
coagulation cascade
haemorrhages

X-linked
recessive trait
homozygous

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