hemophilia A

hemophilia A

n.

Hemophilia due to deficiency of factor VIII, characterized by prolonged clotting time, decreased formation of thromboplastin, and diminished conversion of prothrombin.

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hemophilia A Classical hemophilia, factor VIII deficiency hemophilia Hematology An X-R coagulopathy due to a marked ↓ of factor VIII Physiology Factor VIII circulates as a noncovalent complex with von Willebrand factor, which once cleaved by thrombin or by factor Xa enables factor VIII to bind to phospholipid surfaces of damaged cells and adherent activated platelets Clinical Hemophilia A is heterogenous as moderate–1—4% normal; or mild–5—25% normal factor VIII deficiency occurs; classic findings–joint hemorrhage of knee > elbow >etc, muscle hemorrhage, bruising, prolonged and potentially fatal post-traumatic or post-op hemorrhage Lab Normal platelets, normal prothrombin time, ↑ aPTT, ↓ factor VIII Treatment Recombinant factor VIII. See AIDSgate, Factor VIII.