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FUNDAMENTALS OF GENETICS
Presented to: dr. shaheen Shahzad
Presented by: zuha tariq (960-FBAS/BSBT/F-17)
Minahil(960-FBAS/BSBT/F-17)
Laraib zamir (960-FBAS/BSBT/F-17)
HEMOPHILIA
INTRODUCTION
 Inherited bleeding disorder.
 Blood doesnt clot properly.
 Haemo means blood.
 Philia means infection.
HISTORY
10TH
CENTUARY
 Abulcasis described families whose men died of
bleeding.
1803
 John Conrad Otto recognized a hereditary disorder
in which affected males were called bleeders.
1828
 Fredrich Hopff described a term Haemorrhaphilia
1924
 A Finnish doctor discovered a bleeding disorder
which was called Von Willebrand Disease.
1937
 Patek and Taylor discovered anti hemophilic
globulin.
1947
 Pavlosky found Haemophilia A and
Haemophilia B as separate disease.
THE ROYAL DISEASE
 Haemophilia is also called
The Royal Disease because
Queen Victoria was a
carrier.
 Her daughters passed the
mutated genes onto the
members of royal families
of Germany, Spain and
Russia.
CAUSES OF HAEMOPHILIA
 Haemophilia is caused by genetic mutation.
 The mutation involves changes in genes that
code for proteins that is essential in blood
clotting process.
 These proteins are called blood clotting
factors.
HOW BLEEDING STARTS AND STOPS
GENETICS OF HEMOPHILIA
 Mostly X-Linked Recessive Trait.
 In males only one allele is sufficient to cause
hemophilia.
 In females a mutation would have to occur in both
alleles of the gene to cause hemophilia.
INHERITENCE
LEVELS OF SEVERITY
MildHaemophilia:
 Unusual
bleeding with
surgery and
tooth extraction.
Moderate Haemophilia:
 Spontaneous
bleeding,
delayed oozing
after minor
injury.
Severe Haemophilia:
 Spontaneous
joint or a deep
muscle
bleeding.
TYPES OF HAEMOPHILIA
 Abnormality of factor VIII
 X-Linked RecessiveHaemophilia A
 Disturbance in factor IX
 X-Linked RecessiveHaemophilia B
 Reduction in factor XI
 Autosomal RecessiveHaemophilia C
HAEMOPHILIA A
X-Linked Recessive Inheritance.
Abnormality in factor VIII.
1 in 1000 males.
Internal or external bleeding.
Muscle and joints haemorhages.
Digestive tract and cerebral.
 haemorhages.Bleeding Time Test.
Factor VIII
HAEMOPHILIA B
X-Linked Recessive Trait.
Disturbance in factor IX.
First recognized in 1952, also known as
Christmas Disease.
Bruising, Hematuria,
Epistaxis and Hemarthrosis.
Bleeding Scores.
Coagulation Screening Test.
Factor IX
HAEMOPHILIA C
Autosomal Recessive Disorder.
Also known as Plasma Thromboplastin Antecedent
(PTA) deficiency or Rosenthal Syndrome.
It occurs 1 in 100, 000 Males
Oral bleeding, blood in urine, post
partum bleeding and tonsils
bleeding.
Prothrombin time test.
Factor XI
SIGNS & SYMPTOMS
Soft tissue bleeds
and bruising.
Muscles bleeding.
Neck swelling.
Buttock bleeding.
Bleeding in brain.
DIAGNOSIS
Before pregnancy.
After pregnancy.
Chorionic Villus
Sampling (CVS)
Amniocentesis
After birth.
PEDIGREE ANALYSIS
HH Hh
hh hh hh
TREATMENT
 Prevention:
Control bleeding episodes
Prevent joint degeneration
Avoid contact sports
Avoid IM injection
REPLACEMENT THERAPY
 Fresh whole blood
 Fresh Frozen Plasma
 Factor VIII or IX
Concentrate
GENE THERAPY
DESMOPRESSIN
 Desmopressin (DDAVP) is used to
help stop bleeding in patients with
von Willebrand's disease or
mild hemophilia A.
 DDAVP causes the release of von
Willebrand's antigen from the
platelets and the cells that line the
blood vessels where it is stored. Von
Willebrand's antigen is the protein
that carries factor VIII.
RICE
Hemophilia ppt
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Hemophilia ppt

  • 1. FUNDAMENTALS OF GENETICS Presented to: dr. shaheen Shahzad Presented by: zuha tariq (960-FBAS/BSBT/F-17) Minahil(960-FBAS/BSBT/F-17) Laraib zamir (960-FBAS/BSBT/F-17)
  • 3. INTRODUCTION Inherited bleeding disorder. Blood doesnt clot properly. Haemo means blood. Philia means infection.
  • 4. HISTORY 10TH CENTUARY Abulcasis described families whose men died of bleeding. 1803 John Conrad Otto recognized a hereditary disorder in which affected males were called bleeders. 1828 Fredrich Hopff described a term Haemorrhaphilia
  • 5. 1924 A Finnish doctor discovered a bleeding disorder which was called Von Willebrand Disease. 1937 Patek and Taylor discovered anti hemophilic globulin. 1947 Pavlosky found Haemophilia A and Haemophilia B as separate disease.
  • 6. THE ROYAL DISEASE Haemophilia is also called The Royal Disease because Queen Victoria was a carrier. Her daughters passed the mutated genes onto the members of royal families of Germany, Spain and Russia.
  • 7. CAUSES OF HAEMOPHILIA Haemophilia is caused by genetic mutation. The mutation involves changes in genes that code for proteins that is essential in blood clotting process. These proteins are called blood clotting factors.
  • 9. GENETICS OF HEMOPHILIA Mostly X-Linked Recessive Trait. In males only one allele is sufficient to cause hemophilia. In females a mutation would have to occur in both alleles of the gene to cause hemophilia.
  • 11. LEVELS OF SEVERITY MildHaemophilia: Unusual bleeding with surgery and tooth extraction. Moderate Haemophilia: Spontaneous bleeding, delayed oozing after minor injury. Severe Haemophilia: Spontaneous joint or a deep muscle bleeding.
  • 12. TYPES OF HAEMOPHILIA Abnormality of factor VIII X-Linked RecessiveHaemophilia A Disturbance in factor IX X-Linked RecessiveHaemophilia B Reduction in factor XI Autosomal RecessiveHaemophilia C
  • 13. HAEMOPHILIA A X-Linked Recessive Inheritance. Abnormality in factor VIII. 1 in 1000 males. Internal or external bleeding. Muscle and joints haemorhages. Digestive tract and cerebral. haemorhages.Bleeding Time Test. Factor VIII
  • 14. HAEMOPHILIA B X-Linked Recessive Trait. Disturbance in factor IX. First recognized in 1952, also known as Christmas Disease. Bruising, Hematuria, Epistaxis and Hemarthrosis. Bleeding Scores. Coagulation Screening Test. Factor IX
  • 15. HAEMOPHILIA C Autosomal Recessive Disorder. Also known as Plasma Thromboplastin Antecedent (PTA) deficiency or Rosenthal Syndrome. It occurs 1 in 100, 000 Males Oral bleeding, blood in urine, post partum bleeding and tonsils bleeding. Prothrombin time test. Factor XI
  • 16. SIGNS & SYMPTOMS Soft tissue bleeds and bruising. Muscles bleeding. Neck swelling. Buttock bleeding. Bleeding in brain.
  • 17. DIAGNOSIS Before pregnancy. After pregnancy. Chorionic Villus Sampling (CVS) Amniocentesis After birth.
  • 19. TREATMENT Prevention: Control bleeding episodes Prevent joint degeneration Avoid contact sports Avoid IM injection
  • 20. REPLACEMENT THERAPY Fresh whole blood Fresh Frozen Plasma Factor VIII or IX Concentrate
  • 22. DESMOPRESSIN Desmopressin (DDAVP) is used to help stop bleeding in patients with von Willebrand's disease or mild hemophilia A. DDAVP causes the release of von Willebrand's antigen from the platelets and the cells that line the blood vessels where it is stored. Von Willebrand's antigen is the protein that carries factor VIII.
  • 23. RICE