" /> Hemophilia b - CISMeF





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;

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02/05/2025


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