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Revista Cubana de Hematología, Inmunología y Hemoterapia

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ISSN 0864-0289 (Print)
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2014, Number 2

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Rev Cubana Hematol Inmunol Hemoter 2014; 30 (2)

Importance of the diagnosis of carriers in families with history of hemophilia

Lavaut SK
Full text How to cite this article

Language: Spanish
References: 10
Page: 108-113
PDF size: 87.59 Kb.


Key words:

hemophilia, carriers, Factor VIII, Factor IX.

ABSTRACT

Hemophilia is ahereditary bleeding disorderX-linkedthat arises dueto mutationsin the genes offactor VIII(hemophiliaA)andfactor IX(hemophiliaB), which causes a decrease orfunctional deficiencyof these proteins inplasma.Their frequenciesare 1 in5 000malesand1 in30 000live births, respectively. It affectsmales almost exclusively, andfemale carriershave a50 % riskof transmitting thedisease to their children. So, it isimportantin familieswith history of hemophilia that carriers are identifiedthroughgenetic counseling, which provides informationabout the disease, makingpedigree,calculation of therisk of recurrence, molecular diagnosis andpossibility ofprenatal diagnosis inpregnantcarriers.It is imperativethat genetic counselingconstitutesan educationaland informative process,never as an imposition.


REFERENCES

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  2. Rodríguez-Martorell FJ, Mingot ME, Palomo A, Núñez R, Pérez-Garrido R, Villar A, et al. Recomendaciones sobre portadoras en Hemofilia. Federación Española de Hemofilia. 2009. [acceso: 2 de junio de 2013]. Disponible en: http://www.hemofiliagipuzkoa.org/files/home/488_recomendacionessobre- portadoras-en-hemofilia.pdf

  3. Mauser-Bunschoten EP. Portadoras de hemofilia sintomáticas. Serie monográfica: Tratamiento de la hemofilia 2009;46:1-6. Montreal, Quebec: FMH. [acceso: 2 de junio de 2013]. Disponible en: http://www1.wfh.org/publications/files/pdf-1203.pdf

  4. Plug I, Mauser-Bunschoten EP, Brocker-Vriends AH, van Amstel HK, van der Bom JG, van Diemen-Homan JE et al. Bleeding in carriers of hemophilia. Blood 2006 Jul;108(1):52-6.

  5. Kasper CK, Buzin CH. Mosaics and haemophilia. Haemophilia 2009 Nov;15(6):1181-6.

  6. Rossetti LC, Radic CP, Larripa IB, De Brasi CD. Developing a new generation of tests for genotyping hemophilia-causative rearrangements involving in t22h and in t1h hotspots in the factor VIII gene. J Thromb Haemost. 2008:830-36.

  7. Piloto Y, Collazo T, Gómez M, Hernández Y, Gónzalez Y, Giraldo I, et al. Estudio familiar de las hemofilias A y B: 5 años de experiencia en la detección de portadoras. Rev Cubana Hematol Inmunol Hemoter. 2010;26(2):50-6.

  8. Mantilla-Capacho J, Beltrán-Miranda CP, Jaloma-Cruz AR. Diagnóstico molecular en pacientes y portadoras de hemofilia Ay B. Gaceta Médica México 2005 Jan- Feb;141(1):69-71.

  9. Bustamante Aragones A, Rodríguez de Alba M, González González C, Trujillo Tiebas MJ, Diego Álvarez D, Vallespin E et al. Foetal sex determination in maternal blood from the seventh week of gestation and its role in diagnosing haemophilia in the foetuses of female carriers. Haemophilia 2008 May;14(3):593-8.

  10. Sesarini C, Argibay P, Otano L. Diagnóstico prenatal no invasivo: Ácidos nucleicos de origen fetal en sangre materna. Medicina (Buenos Aires) 2010;70(6):537-42.




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Rev Cubana Hematol Inmunol Hemoter . 2014;30