Bleeding Disorders

  • Reference work entry
Textbook of Clinical Pediatrics

Familial bleeding disorders affecting males have been described in religious and historical texts for thousands of years. Hemophilia A (classic hemophilia) and B (Christmas Disease) are clinically indistinguishable and discussed together in this chapter. Some of most famous individuals affected with hemophilia have been the descendents of Queen Victoria of England and the Empress of the Indies, including Czar Alexis. The downfall of the Russian aristocracy is partially attributed to the poor health of Czar Alexis and the royal family’s dependence upon their physician, Rasputin, for advice. Analysis of Czar Alexis’ DNA revealed a substitution in exon 4 of the factor IX gene. Schonlein termed the disease hemophilia in the 1820s. In the early twentieth century, experiments by several investigators determined that the plasma and, more specifically, the “globulin fraction” of blood plasma could correct the clotting defect of the blood of affected patients in vivo and in vitro, leading to...

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
EUR 29.95
Price includes VAT (Germany)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
EUR 962.99
Price includes VAT (Germany)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
EUR 1,283.99
Price includes VAT (Germany)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Bajaj SP, Thompson AR (2006) Molecular and structural biology of factor IX. Chapter 7. In: Colman RW et al (eds) Hemostasis and thrombosis: basic principles and clinical practice, 5th edn. Lippincott-Raven, Philadelphia, pp 131–150

    Google Scholar 

  • Bray GL, Luban NL (1987) Hemophilia presenting with intracranial hemorrhage. A approach to the infant with intracranial bleeding and coagulopathy. Am J Dis Child 141:1215–1217

    PubMed  CAS  Google Scholar 

  • Castaman G, Tosetto A, Goodeve A, Federici AB, Lethagen S, Budde U, Batlle J, Meyer D, Mazurier C, Goudemand J, Eikenboom J, Schneppenheim R, Ingerslev J, Habart D, Hill F, Peake I, Rodeghiero F (2010) The impact of bleeding history, von Willebrand factor and PFA-100(®) on the diagnosis of type 1 von Willebrand disease: results from the European study MCMDM-1VWD. Br J Haematol 151(3):245–251, Epub 25 Aug 2010

    Article  PubMed  Google Scholar 

  • Collins PW, Blanchette VS, Fischer K, Björkman S, Oh M, Fritsch S, Schroth P, Spotts G, Astermark J, Ewenstein B, rAHF-PFM Study Group (2009) Break-through bleeding in relation to predicted factor VIII levels in patients receiving prophylactic treatment for severe hemophilia A. J Thromb Haemost 7(3):413–420

    Google Scholar 

  • Coppola A, Di Minno MN, Santagostino E (2010) Optimizing management of immune tolerance induction in patients with severe haemophilia A and inhibitors: towards evidence-based approaches. Br J Haematol 150(5):515–528. Epub 22 June 2010

    Article  PubMed  CAS  Google Scholar 

  • Darby SC, Keeling DM, Spooner RJ et al (2004) The incidence of factor VIII and factor IX inhibitors in the hemophilia population of the UK and their effect on subsequent mortality, 1977–99. J Thromb Haemost 2:1047–1054

    Article  PubMed  CAS  Google Scholar 

  • DiMichele D (2007) Inhibitor development in haemophilia B: an orphan disease in need of attention. Br J Haematol 138(3):305–315

    Article  PubMed  CAS  Google Scholar 

  • d’Oiron R, Pipe SW, Jacquemin M (2008) Mild/moderate haemophilia A: new insights into molecular mechanisms and inhibitor development. Haemophilia 14(Suppl 3):138–146

    Article  PubMed  Google Scholar 

  • Fischer K, Van der Born JG, Molho P, Negrier C, Mauser Bunschoten EP, Roosendaal G, de Kleijn P, Grobbee DE, Van den Berg HM (2002) Prophylactic versus on demand treatment strategies for severe hemophilia: comparison of costs and long term outcome. Haemophilia 8:745–752

    Article  PubMed  CAS  Google Scholar 

  • Gilbert MS (1993) Prophylaxis: musculoskeletal evaluation. Semin Hematol 3(Suppl 2):3–6

    Google Scholar 

  • Gitschier J, Wood WI, Goralka TM, Wion KL, Chen EY, Eaton DH, Vehar GA, Capon DJ, Lawn RM (1984) Characterization of the human factor VIII gene. Nature 312(5992):326–330

    Article  PubMed  CAS  Google Scholar 

  • Gomis M, Querol F, Gallach JE, González LM, Aznar JA (2009) Exercise and sport in the treatment of haemophilic patients: a systematic review. Haemophilia 15(1):43–54. Epub 21 Aug 2008

    Article  PubMed  CAS  Google Scholar 

  • Goodeve AC (2010) The genetic basis of von Willebrand disease. Blood Rev 24(3):123–134. Epub 20 Apr 2010

    Article  PubMed  CAS  Google Scholar 

  • Goodnight SH, Hathaway WE (eds) (2001) Disorders of hemostasis and thrombosis: a clinical guide, 2nd edn. McGraw-Hill, Lancaster, pp 115–161

    Google Scholar 

  • Goralka TM et al (1984) Characterization of the human factor VIII gene. Nature 312:326–330

    Article  PubMed  Google Scholar 

  • Hathaway W, Corrigan J (1991) Report of scientific and standardization subcommittee on neonatal hemostasis. Normal coagulation data for fetuses and newborn infants. Thromb Haemost 65(3):323–325

    PubMed  CAS  Google Scholar 

  • Hay CRN, Ludlam CA, Colvin BT et al (1998) Factor VIII inhibitors in mild and moderate severity haemophilia A. Thromb Haemost 79:762–766

    PubMed  CAS  Google Scholar 

  • Hopff f uber die Hemophilie oder die Erbiche. CW Becker, Wurzburg (1828)

    Google Scholar 

  • Kaufman RJ, Antonarakis SE, Fay PJ (2006) Factor VIII and hemophilia A. In: Colman RW et al (eds) Hemostasis and thrombosis: basic principles and clinical practice, 5th edn. Lippincott-Raven, Philadelphia, pp 151–175

    Google Scholar 

  • Kempton CL, White GC 2nd (2009) How we treat a hemophilia A patient with inhibitors. Blood 113(1):11–17

    Article  PubMed  CAS  Google Scholar 

  • Kessler CM, Gill JC, White GC 2nd, Shapiro A, Arkin S, Roth DA, Meng X, Lusher JM (2005) B-domain deleted recombinant factor VIII preparations are bioequivalent to a monoclonal antibody purified plasma-derived factor VIII concentrate: a randomized, three-way crossover study. Haemophilia 11(2):84–91

    Article  PubMed  CAS  Google Scholar 

  • Klintman J, Astermark J, Berntorp E (2010) Combination of FVIII and by-passing agent potentiates in vitro thrombin production in haemophilia A inhibitor plasma. Br J Haematol 151(4):381–386. Epub 1 Oct 2010

    Article  PubMed  CAS  Google Scholar 

  • Kouides PA (2006) Aspects of the laboratory identification of von Willebrand disease in women. Semin Thromb Hemost 32(5):480–484

    Article  PubMed  CAS  Google Scholar 

  • Kreuz W, Escuriola-Ettingshausen C, Funk M, Schmidt H, Kornhuber B (1998) When should prophylactic treatment in patients with hemophilia A and B start? – The German experience. Haemophilia 4:413–417

    Article  PubMed  CAS  Google Scholar 

  • Kulkarni R (2004) Alternative and topical approaches to treating the massively bleeding patient. Clin Adv Hematol Oncol 2(7):428–431

    PubMed  Google Scholar 

  • Kurachi S, Huo JS, Ameri A, Zhang K, Yoshizawa AC, Kurachi K (2009) An age-related homeostasis mechanism is essential for spontaneous amelioration of hemophilia B Leyden. Proc Natl Acad Sci U S A 106(19):7921–7926. Epub 28 Apr 2009

    Article  PubMed  CAS  Google Scholar 

  • Lannoy N, Hermans C (2010) The ‘Royal Disease’ haemophilia A or B? A Haemotologic mystery is finally solved. Haemophilia 16(6):843–847

    Article  PubMed  CAS  Google Scholar 

  • Lavery S (2009) Preimplantation genetic diagnosis of haemophilia. Br J Haematol 144(3):303–307. Epub 22 Nov 2008

    Article  PubMed  Google Scholar 

  • Ljung R, Petrini P, Nilsson IM (1990) Diagnostic symptoms of severe and moderate hemophilia A and B. A survey of 140 cases. Acta Paediatr Scand 79:196–200

    Article  PubMed  CAS  Google Scholar 

  • Lofqvist T, Nilsson IM, Berntorp E, Pettersson H (1997) Haemophilia prophylaxis in young patients. J Intern Med 241:395–400

    Article  PubMed  CAS  Google Scholar 

  • Manco-Johnson MJ, Abshire TC, Shapiro AD, Riske B, Hacker MR, Kilcoyne R, Ingram JD, Manco-Johnson ML, Funk S, Jacobson L, Valentino LA, Hoots WK, Buchanan GR, DiMichele D, Recht M, Brown D, Leissinger C, Bleak S, Cohen A, Mathew P, Matsunaga A, Medeiros D, Nugent D, Thomas GA, Thompson AA, McRedmond K, Soucie JM, Austin H, Evatt BL (2007) Prophylaxis versus episodic treatment to prevent joint disease in boys with severe hemophilia. N Engl J Med 357(6):535–544

    Article  PubMed  CAS  Google Scholar 

  • Mauser Bunschoten EP, van Houwelingen JC, Sjamsoedin Visser EJ, van Dijken PJ, Kok AJ, Sixma JJ (1988) Bleeding symptoms in carriers of hemophilia A and B. Thromb Haemost 59(3):349–352

    PubMed  CAS  Google Scholar 

  • Metjian AD, Wang C, Sood SL, Cuker A, Peterson SM, Soucie JM, Konkle BA, HTCN Study Investigators (2009) Bleeding symptoms and laboratory correlation in patients with severe von Willebrand disease. Haemophilia 15(4):918–925. Epub 7 Apr 2009

    Google Scholar 

  • Monahan PE, Liesner R, Sullivan ST, Ramirez ME, Kelly P, Roth DA (2010) Safety and efficacy of investigator-prescribed BeneFIX prophylaxis in children less than 6 years of age with severe haemophilia B. Haemophilia 16(3):460–468. Epub 4 Jan 2010

    PubMed  CAS  Google Scholar 

  • Oldenburg J, Pavlova A (2006) Genetic risk factors for inhibitors to factors VIII and IX. Haemophilia 12(Suppl 6):15–22

    Article  PubMed  CAS  Google Scholar 

  • Orkin SH, Nathan DG, Ginsburg D, Look AT, Fisher DE, Lux SE (2009) Hematology of infancy and childhood, 7th edn. Saunders Elsevier, Philadelphia, pp 1487–1524

    Google Scholar 

  • Patek AJ, Taylor FHL (1937) Hemophilia. II some properties of substances obtained from human plasma effective in acceleration coagulation of hemophiliac blood. J Clin Invest 16:113–124

    Article  PubMed  CAS  Google Scholar 

  • Pergantou H, Matsinos G, Papdopoulos A, Platokouki H, Aronis S (2006) Comparative study of validity of clinical, xray, and magnetic resonance imaging scores in evaluation and management of haemophlic arthropathy in children. Haemophilia 12:241–247

    Article  PubMed  CAS  Google Scholar 

  • Pipe S (2009) Visions in haemophilia care. Thromb Res 124(Suppl 2):S2–S5

    Article  PubMed  CAS  Google Scholar 

  • Pipe SW, High KA, Ohashi K, Ural AU, Lillicrap D (2008) Progress in the molecular biology of inherited bleeding disorders. Haemophilia 14(Suppl 3):130–137

    Article  PubMed  Google Scholar 

  • Plug I, Mauser-Bunschoten EP, Bröcker-Vriends AH, van Amstel HK, van der Bom JG, van Diemen-Homan JE, Willemse J, Rosendaal FR (2006a) Bleeding in carriers of hemophilia. Blood 108(1):52–56. Epub 21 Mar 2006

    Article  PubMed  CAS  Google Scholar 

  • Plug I, Van Der Bom JG, Peters M, Mauser-Bunschoten EP, De Goede-Bolder A, Heijnen L, Smit C, Willemse J, Rosendaal FR (2006b) Mortality and causes of death in patients with hemophilia, 1992–2001: a prospective cohort study. J Thromb Haemost 4(3):510–516

    Article  PubMed  CAS  Google Scholar 

  • Puetz J (2010) Optimal use of recombinant factor VIIa in the control of bleeding episodes in hemophilic patients. Drug Des Devel Ther 4:127–37

    Article  PubMed  CAS  Google Scholar 

  • Ramgen O (1962) A clinical and medico-social study of haemophilia in Sweden. Acta Med Scand Suppl 379:111–190

    Google Scholar 

  • Rodeghiero F, Castaman G, Tosetto A (2009) Optimizing treatment of von Willebrand disease by using phenotypic and molecular data. Hematology Am Soc Hematol Educ Prog 2009(1):113–123

    Article  Google Scholar 

  • Rosner F (1969) Hemophilia in the Talmud and rabbinic writings. Ann Intern Med 70:833–837

    Article  PubMed  CAS  Google Scholar 

  • Sadler JE (2009) Low von Willebrand factor: sometimes a risk factor and sometimes a disease. Hematology Am Soc Hematol Educ Program 2009:106–112

    Article  Google Scholar 

  • Santagostino E, Mancuso ME (2008) Barriers to primary prophylaxis in haemophilic children: the issue of the venous access. Blood Transfus 6(Suppl 2):S12–S16

    PubMed  Google Scholar 

  • Schneider T (1976) Circumcision and “uncircumcision”. S Afr Med J 50:556–558

    PubMed  CAS  Google Scholar 

  • Sharathkumar AA, Pipe SW (2008) Bleeding disorders. Pediatr Rev 29(4):121–129

    Article  PubMed  Google Scholar 

  • Stobart K, Iorio A, Wu JK (2006) Clotting factor concentrates given to prevent bleeding and bleeding-related complications in people with hemophilia A or B. Cochrane Database Syst Rev 2:CD003429

    PubMed  Google Scholar 

  • Thompson AR (2003) Structure and function of the factor VIII gene and protein. Semin Thromb Hemost 29:11–22

    Article  PubMed  CAS  Google Scholar 

  • Toole JJ, Knopf JL, Wozney JM et al (1984) Molecular cloning of tha cDNA encoding human antihemophilic factor. Nature 312:342–347

    Article  PubMed  CAS  Google Scholar 

  • Verbruggen B, van Heerde WL, Laros-van Gorkom BA (2009) Improvements in factor VIII inhibitor detection: from Bethesda to Nijmegen. Semin Thromb Hemost 35(8):752–759. Epub 18 Feb 2010

    Article  PubMed  CAS  Google Scholar 

  • Yoshitake S, Schach BG, Foster DC et al (1985) Nucleotide sequence of the gene for human factor IX (antihemophilic factor B). Biochemistry 24:3736–3750

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hassan M. Yaish M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag Berlin Heidelberg

About this entry

Cite this entry

Yaish, H.M., Chang, E. (2012). Bleeding Disorders. In: Elzouki, A.Y., Harfi, H.A., Nazer, H.M., Stapleton, F.B., Oh, W., Whitley, R.J. (eds) Textbook of Clinical Pediatrics. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-02202-9_335

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-02202-9_335

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-02201-2

  • Online ISBN: 978-3-642-02202-9

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics

Navigation