Preferred Label : Hemophilia b;
Symbol : HEMB;
CISMeF acronym : HEMB;
Type : Phenotype, molecular basis known;
Alternative titles and symbols : Christmas disease; Factor ix deficiency; F9 deficiency; Plasma thromboplastin component deficiency;
Included titles and symbols : Hemophilia b leyden; Hemophilia b(M);
Description : Hemophilia B due to factor IX deficiency is phenotypically indistinguishable from
hemophilia A (306700), which results from deficiency of coagulation factor VIII (F8;
300841). The classic laboratory findings in hemophilia B include a prolonged activated
partial thromboplastin time (aPTT) and a normal prothrombin time (PT) (Lefkowitz et
al., 1993). Early studies made a distinction between cross-reactive-material (CRM)-negative
and CRM-positive hemophilia B mutants. This classification referred to detection of
the F9 antigen in plasma, even in the presence of decreased F9 activity. Detection
of the antigen indicated the presence of a dysfunctional F9 protein. Roberts et al.
(1968) found that about 90% of patients with hemophilia B were CRM-negative, whereas
about 10% were CRM-positive. However, Bertina and Veltkamp (1978) found that a rather
large proportion of the hemophilia B patients could be characterized as hemophilia
B CRM . They identified 14 cases of hemophilia B CRM from 11 families among a group
of 33 patients. After immunologic and activity comparisons, they found at least 7
different factor IX variants. Bertina and Veltkamp (1978) noted the high heterogeneity
within this group. In an editorial on variants of vitamin K-dependent coagulation
factors, Bertina et al. (1979) stated that 9 defective variants of factor II, 5 variants
of factor X, and many variants (about 180 pedigrees) of factor IX had been identified.
At least one variant of factor VII (Padua) was also known.;
Inheritance : X-linked recessive;
Molecular basis : Caused by mutation in the coagulation factor IX gene (F9, 300746.0001);
Laboratory abnormalities : PT normal; PTT prolonged; Factor IX deficiency; Platelet count normal; Platelet function normal;
Prefixed ID : #306900;
Origin ID : 306900;
UMLS CUI : C0008533;
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