University of Manchester, Manchester Blood Centre, Plymouth Grove, Manchester, UK.
Pediatr Blood Cancer. 2013;60 Suppl 1:S37-40. doi: 10.1002/pbc.24336. Epub 2012 Oct 25.
The rare inherited coagulation disorders (RICD) are uncommon and thus not well-defined in terms of severity or management. Inheritance is autosomal; in some of these disorders in the heterozygote state affected individuals may be mildly symptomatic. Severe deficiencies are more common in association with consanguinity. Factor X and factor XIII deficiency have the most severe manifestations, while factor XI deficiency is the least severe. Factor VII and factor XI deficiencies show a poor relationship between the factor level and bleeding risk. Unlike hemophilia, women are equally affected by these RICD and can have problems related to menstruation and childbirth.
罕见遗传性凝血障碍(RICD)并不常见,因此在严重程度或管理方面没有明确的定义。遗传方式为常染色体遗传;在某些杂合子状态下的此类疾病中,受影响的个体可能有轻微的症状。严重缺乏症更常见于近亲结婚。因子 X 和因子 XIII 缺乏症的表现最为严重,而因子 XI 缺乏症的表现则最为轻微。因子 VII 和因子 XI 缺乏症的因子水平与出血风险之间的关系较差。与血友病不同,女性同样受到这些 RICD 的影响,并且可能会出现与月经和分娩相关的问题。