Congenital Bleeding Disorders

  • Akbar Dorgalaleh
  • Fariba Rad


Congenital bleeding disorders (CBD) are heterogeneous group of disorders with variable clinical presentations ranging from asymptomatic condition, mostly in inherited platelet function disorders (IPFD), to severe life-threatening disorders, notably in factor (F) XIII deficiency. Most of these disorders including rare bleeding disorders (RBD) and IPFD are autosomal recessive disorders, while patients with hemophilia A and B had X-linked recessive manner of inheritance with a considerable percent of de novo mutations. The incidence of disorders is highly variable and can be as common as ~1% for von Willebrand disease (VWD) to 1 per 2 million for FXIII and FII deficiencies. Diagnosis of some CDB, such as Glanzmann thrombasthenia (GT), is straightforward, while others such as VWD and congenital fibrinogen disorders have more sophisticated diagnostic process. Most of CBD, notably IPFD, are mild bleeding disorders that never require medical intervention. The main therapeutic choice in most CBD is on-demand therapy, while in others, such as hemophilia A and B and FXIII deficiency, primary prophylaxis is the recommended treatment option. With timely diagnosis and appropriate management of CBD, the burden of disorders can be alleviated or significantly decreased.


Congenital bleeding disorder Hemorrhagic Inherited platelet function disorders Hemophilia Rare bleeding disorder 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Akbar Dorgalaleh
    • 1
  • Fariba Rad
    • 2
  1. 1.Department of Hematology and Blood TransfusionSchool of Allied Medicine, Iran University of Medical SciencesTehranIran
  2. 2.Cellular and Molecular Research Center, Yasuj University of Medical SciencesyasujIran

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