Saturday, February, 11, 2012

Hemophilia B

Table of Contents

Alternative Names

Christmas disease; Factor IX hemophilia


Symptoms

The severity of symptoms can vary, and the severe forms become apparent early on.

Bleeding is the main symptom of the disease and sometimes, although not always, occurs if an infant is circumcised. Additional bleeding problems usually show up when the infant becomes mobile.

Mild cases may go unnoticed until later in life, when they occur in response to surgery or trauma. Internal bleeding may occur anywhere and bleeding into joints is common.

Symptoms can include:

  • Bleeding into joints and associated pain and swelling
  • Blood in the urine or stool
  • Bruising
  • Excessive bleeding following circumcision
  • Gastrointestinal tract and urinary tract hemorrhage
  • Nosebleeds
  • Prolonged bleeding from cuts, tooth extraction, and surgery
  • Spontaneous bleeding

Signs and tests

If the patient is the first person in the family to have a suspected bleeding disorder, he or she will undergo a series of tests called a coagulation study. Once the specific defect has been identified, other family members will need less testing to diagnose the disorder.

Tests results may include:

  • Prolonged partial thromboplastin time (PTT)
  • Normal prothrombin time
  • Normal bleeding time
  • Normal fibrinogen level
  • Low factor IX


Review Date: 03/28/2010
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; James R. Mason, MD, Oncologist, Director, Blood and Marrow Transplantation Program and Stem Cell Processing Lab, Scripps Clinic, Torrey Pines, California. 3/28/10Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)