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.