The term "hemophilia" refers to the
genetic bleeding disorders that are transmitted through the
"X" chromosome. Two different types of Hemophilia
need be distinguished:
- Hemophilia A: caused by the deficiency or drop of the Factor
VII (FVIII) (sette o otto?) of the coagulation. The frequency
of hemophilia A is 1 case out of 10.000 births.
- Hemophilia B: caused by the defect of the Factor IX (FIX)
of the coagulation, and with a frequency of 1 case out of 60.000
births.
From the clinical point of view, the
two pathologies are hardly distinguishable; in fact, a correct
diagnosis can be performed only after specific tests. The gravity
of the clinic manifestations is strictly related to the quantity
of the specific factors in the patient's plasma. It is possible
to distinguish three types of manifestation: severe, moderate
and slight.
The patients with a grave hemophilia present frequent and often
spontaneous hemorrhages; the patients with a moderate hemophilia
present prolonged bleeding only after serious trauma or clinical
surgery. The hemorrhage can occur in various points. Nevertheless,
the most frequent and typical manifestation is the intrarticular
or hemarthron hemorrhage