Cause
Hemophilia A and B are caused by an inherited defect
in a pair of
chromosomes. Hemophilia is a
sex-linked genetic disease. It is also called an
X-linked disease because the defect is on the X chromosome. Fathers pass the
defective gene on to their daughters, but not to their sons, and mothers may be
carriers. See a picture of the
hemophilia
inheritance pattern
.
Hemophilia almost always occurs in boys. Males get the disease by
inheriting the defective gene from their mother. It is very rare for girls to
have hemophilia because they must inherit a defective gene from each
parent.
The genetic defect affects how much clotting factor a person will
produce and how the factor will function. The less normal clotting factor you
have, the more severe the hemophilia.
Although hemophilia is a genetic disorder, about one-third of all
people with hemophilia have no family history of the condition.1 In these cases, hemophilia occurs spontaneously when a normal
chromosome develops an abnormality (mutation) that affects the gene that
determines the production of clotting factor. A child who inherits this
mutation may be born with hemophilia or may be a carrier. Only females can be
carriers.