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Measurement of Factor V Activity in Human Plasma Using a Microplate Coagulation Assay
Published on: September 9, 2012
Study of clinical characteristics, presentation, and complications among patients with congenital coagulation
Enas T Abdul-Karim1, Saad F Mohammed
1Department of Community Medicine, College of Medicine, Al-Nahrain University, PO Box 14222, Baghdad, Iraq. enas_yhy@yahoo.com
Insights
Congenital coagulation disorders, primarily Hemophilia and Von Willebrand Disease (VWD), often manifest symptoms in infancy. Early diagnosis and management are crucial for preventing complications like joint limitations in affected children.
Area of Science:
- Hematology
- Pediatric Medicine
- Genetics
Background:
- Congenital coagulation disorders are inherited conditions affecting blood clotting.
- These disorders can lead to significant bleeding complications if not managed properly.
- Understanding the clinical characteristics is vital for timely diagnosis and treatment.
Purpose of the Study:
- To investigate the clinical features, presentations, and complications of congenital coagulation disorders.
- To analyze patient data from a specialized center in Baghdad, Iraq.
- To identify common disorders and symptom onset patterns.
Main Methods:
- A cross-sectional study involving 243 patients with congenital coagulation disorders.
- Data collected via structured questionnaires and physical examinations.
- Study conducted at the Congenital Coagulation Disorders Center, Baghdad, Iraq (March-August 2008).
Main Results:
- Hemophilia and Von Willebrand Disease (VWD) accounted for 90.1% of cases.
- 82.7% of patients experienced symptom onset within the first year of life.
- Hemarthroses and joint limitations were common, particularly in hemophiliacs.
Conclusions:
- Hemophilia is a predominant diagnosis among patients studied.
- Symptom onset typically occurs between 6-12 months, with diagnosis often within a month.
- Approximately 50% of hemophiliacs experienced limitations in three or more joints.
Objective:
To study the clinical characteristic, presentation, complications in patients with congenital coagulation disorders who attended the Congenital Coagulation Disorders Center, Baghdad, Iraq.
Methods:
This cross-sectional study was conducted in the Center of Congenital Coagulation Disorders, Al-Mansour Pediatric Teaching Hospital, Baghdad, Iraq between March 2008 and August 2008. The sample comprised 243 patients with different congenital coagulation disorders. We collected the data through structured questionnaire form and carried out the physical examination of the patient under the supervision of the physician-in-charge at the center.
Results:
Hemophilia and Von Willebrand Disease (VWD) constituted 90.1% of the sample, while rare bleeding disorders constituted 9.9%. Most patients (82.7%) have had onset of symptoms during the first year of life. Clinically, 52.7% of patients presented with hemarthroses were hemophiliacs and factors X deficiency. This distribution was also true for joint limitations.
Conclusion:
Most patients were hemophiliacs and the highest prevalent of symptom was 6-12 months old, and the diagnosis of the disease was highest within one month after the onset of symptoms. Most patients with joint limitation was hemophiliacs and approximately 50% had limitation of 3 or more joints.
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