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Inherited factor XI deficiency: a concise review
Massimo Franchini1, Dino Veneri, Giuseppe Lippi
1Servizio di Immunoematologia e Trasfusione - Centro Emofilia, Azienda Ospedaliera di Verona, Italy.
Hematology (Amsterdam, Netherlands)
|July 4, 2007
Summary
Inherited Factor XI (FXI) deficiency, or Hemophilia C, is a rare genetic bleeding disorder causing variable bleeding after injury. This review covers its causes, genetics, diagnosis, symptoms, and treatment strategies.
Area of Science:
- Hematology
- Genetics
- Rare Diseases
Background:
- Inherited Factor XI (FXI) deficiency, also known as Hemophilia C, is an uncommon autosomal recessive bleeding disorder.
- It is characterized by a variable tendency for bleeding, typically appearing after trauma or surgical procedures.
Purpose of the Study:
- To provide a comprehensive review of the current knowledge on inherited Factor XI (FXI) deficiency.
- To cover the pathogenesis, genetics, diagnosis, clinical manifestations, and management of this rare bleeding disorder.
Main Methods:
- Literature review of existing studies and clinical reports on Factor XI deficiency.
- Synthesis of information regarding the molecular basis, inheritance patterns, diagnostic criteria, clinical presentation, and therapeutic options.
Main Results:
- Factor XI deficiency is a rare autosomal recessive disorder with diverse bleeding phenotypes.
- Understanding the genetic basis and clinical spectrum is crucial for accurate diagnosis and effective management.
- Current management strategies focus on supportive care and factor replacement when necessary.
Conclusions:
- Inherited Factor XI deficiency requires a multidisciplinary approach for optimal patient care.
- Further research into the pathogenesis and treatment of FXI deficiency is warranted.
- This review consolidates essential information for clinicians managing patients with Hemophilia C.
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X-linked Traits
In most mammalian species, females have two X sex chromosomes and males have an X and Y. As a result, mutations on the X chromosome in females may be masked by the presence of a normal allele on the second X. In contrast, a mutation on the X chromosome in males more often causes observable biological defects, as there is no normal X to compensate. Trait variations arising from mutations on the X chromosome are called “X-linked”.
X-linked Traits
In most mammalian species, females have two X sex chromosomes and males have an X and Y. As a result, mutations on the X chromosome in females may be masked by the presence of a normal allele on the second X. In contrast, a mutation on the X chromosome in males more often causes observable biological defects, as there is no normal X to compensate. Trait variations arising from mutations on the X chromosome are called “X-linked”.
X-Inactivation
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X-inactivation
The human X chromosome contains over ten times the number of genes as in the Y chromosome. Since males have only one X chromosome, and females have two, one might expect females to produce twice as many of the proteins, with undesirable results.
Sex-linked Disorders
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