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haemophilia |
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haemophiliaAny of several inherited diseases in which normal blood clotting is impaired. The sufferer experiences prolonged bleeding from the slightest wound, as well as painful internal bleeding without apparent cause. Haemophilias are nearly always sex-linked, transmitted through the female line only to male infants; they have afflicted a number of European royal households. Males affected by the most common form are unable to synthesize Factor VIII, a protein involved in the clotting of blood. Treatment is primarily with Factor VIII (now mass-produced by recombinant techniques), but the haemophiliac remains at risk from the slightest incident of bleeding. The disease is a painful one that causes deformities of joints.
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| The last chapter of the book discusses "unusual disorders," which includes arthrogryposis, hemophilic arthropathy, hip dislocation in children with Down syndrome, sickle cell disease, proximal femoral focal deficiency, and chondrolysis of the hip. The period of time is also quite large, ranging from medieval times (Jean Pierre Benezet's study of a hundred apothecaries' inventories from Mediterranean countries in the XIIIth-XVIth centuries) to contempor ary cures of hemophilic and HIV patients. Only one nonprogressor in a cohort of American hemophilic LTNPs has been identified as carrying nef-deleted virus (J Infect Dis, 180, p. |
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