Family History and Genetic Mutation
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Family History
The majority of male Registry participants across all severity levels and hemophilia types had a family history of hemophilia. Of the male participants with hemophilia A, a family history of hemophilia was present in 71%, not present in 23%, and unknown in 6%. Among participants with hemophilia B, a family history of hemophilia was present in 78%, not present in 17%, and unknown in 5%. For both hemophilia A and B, a slightly lower percentage of males with severe hemophilia reported a family history in comparison to those with moderate or mild hemophilia (Figures 20 and 21).
Figure 20. Family history of hemophilia among male Registry participants with hemophilia A, by severity

| Mild | Moderate | Severe | ||||
|---|---|---|---|---|---|---|
| Yes | 1,326 | 79.3% | 982 | 77.8% | 2,829 | 65.9% |
| No | 252 | 15.1% | 211 | 16.7% | 1,186 | 27.6% |
| Unknown | 95 | 5.7% | 69 | 5.5% | 281 | 6.5% |
Figure 21. Family history of hemophilia among male Registry participants with hemophilia B, by severity

| Mild | Moderate | Severe | ||||
|---|---|---|---|---|---|---|
| Yes | 347 | 80.1% | 607 | 85.3% | 517 | 69.8% |
| No | 62 | 14.3% | 71 | 10.0% | 188 | 25.4% |
| Unknown | 24 | 5.5% | 34 | 4.8% | 36 | 4.9% |
Genetic Mutation
Among male Registry participants with hemophilia, the specific genetic mutation causing their hemophilia was unknown for 45% known for 37%, and information about genetic mutation information was not available for 18%. As the severity level increased, it was more likely that the specific genetic mutation causing the hemophilia was known; among participants with mild, moderate, or severe hemophilia, the mutation was known for 30%, 33%, and 42%, respectively (Figure 22).
Figure 22. State of knowledge of specific genetic mutation among male Registry participants with hemophilia

| Mild | Moderate | Severe | ||||
|---|---|---|---|---|---|---|
| Known | 630 | 29.9% | 657 | 33.3% | 2,122 | 42.1% |
| Not Known | 1,109 | 52.7% | 934 | 47.3% | 2,045 | 40.6% |
| No Information Available | 367 | 17.4% | 383 | 19.4% | 870 | 17.3% |
Pages in this Report
- Highlights & Acknowledgements
- Background
- Methods
- Geographic Distribution of Registry Participants
- Diagnosis & Severity
- Registry Characteristics
- Age
- Race/Ethnicity
- Education
- Weight Status
- Health Insurance Coverage
- Viral and Vaccination History
- Healthcare Utilization and Absenteeism
- ›Family History and Genetic Mutation
- Complications
- Treatment
- Procedures and Comorbid Conditions
- Technical Notes
- Participating HTCs