What is Haemophilia A?

June 25, 2025

A simple and affordable point-of-care test kit has been indigenously developed by the National Institute of Immunohaematology for early diagnosis of genetic bleeding disorders haemophilia A and Von Willebrand Disease.

About Haemophilia A:

  • It is a hereditary bleeding disorder that happens when your blood doesn’t clot as well as it should.
  • Causes:
    • When you bleed, a series of reactions take place in the body that help blood clots form. This process is called the coagulation cascade.
    • It involves as many as 20 different special proteins called coagulation, or clotting, factors.
    • You may have a higher chance of excess bleeding if one or more of these factors are missing or are not functioning like they should.
    • Factor VIII (eight) is one such coagulation factor. Hemophilia A is the result of the body not making enough factor VIII.
  • How is Haemophilia A passed on?
    • It is usually caused by an altered gene being passed on to a child by their parents (inherited).
    • Men with the altered gene will have symptoms.
    • Women with the altered gene (carriers) can have symptoms, but this is less common, and the symptoms are less severe than in men.
  • Symptoms:
    • The severity of symptoms varies. Prolonged bleeding is the main symptom. It is often first seen when an infant is circumcised.
    • Other bleeding problems usually show up when the infant starts crawling and walking.
    • Mild cases may go unnoticed until later in life.
    • Symptoms may first occur after surgery or injury. Internal bleeding may occur anywhere.
    • Symptoms may include:
      • Bleeding into joints with associated pain and swelling
      • Blood in the urine or stool
      • Bruising
      • Gastrointestinal tract and urinary tract bleeding
      • Nosebleeds
      • Prolonged bleeding from cuts, tooth extraction, and surgery
      • Bleeding that starts without cause
  • Treatment:
    • Healthcare providers typically treat hemophilia A with factor replacement therapy.
    • Healthcare providers will inject concentrated factor VIII into your bloodstream.
    • Factor VIII replaces the missing blood protein, or factor, that helps blood to clot.

Key Facts about Von Willebrand Disease (VWD):

  • VWD is a blood disorder in which the blood does not clot properly.
  • Cause: People with the disease have low levels of von Willebrand factor, a protein that helps blood clot, or the protein doesn't perform as it should.
  • Most people with the disease are born with it, having inherited it from one or both parents.
    • Symptoms:
      • VWD does not always cause symptoms unless you have an injury.
      • Sometimes it's found when you have more bleeding than usual after surgery or giving birth.
      • Symptoms of VWD can include:
      • bruising easily
      • frequent nosebleeds
      • bleeding gums
      • bleeding more than usual after an injury or cut
      • heavy periods
    • Some people also have more severe symptoms, such as:
      • heavy bleeding that's difficult to stop, for example, after an injury or procedure
      • blood in your poo
      • blood in your pee (urine)
      • pain, swelling and stiffness in a joint
  • Treatment:
    • VWD can't be cured.
    • But with treatment and self-care, most people with this disease can lead active lives.

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