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Female factor IX deficiency due to maternally inherited X-inactivation
J M Esquilin1, C M Takemoto, N S Green
1Division of Pediatric Hematology, Columbia University Medical Center, New York, NY 10032, USA.
Abstract:
X-chromosome inactivation is normally a random event that is regulated by the X chromosome itself. Rarely, females are affected by X-linked disorders from extremely skewed X-chromosome inactivation. Here, we report a family with hemophilia B with female expression through inherited X skewing that appears to be independent of either X chromosome. This finding suggests the possibility of a dominant autosomal contribution to inherited skewed X inactivation.
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