Hemophilia Deaths: How Minor Head Trauma Can Bleed You To Death

Hemophilia, The Rare Blood Disorder: A patient suffering from haemophilia might bleed for a longer time after an injury than you would if your blood clot properly.

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Written By: Satata Karmakar | Published : April 30, 2023 12:05 PM IST

Hemophilia is a disorder which affects only males. it is an inherited disorder and transmitted from a carrier mother to all her male babies (affected) and from an affected father to all his female babies who become carriers. Hemophilia is a rare blood disorder in which the blood of the patient doesn't clot in a typical way because it doesn't have enough blood-clotting proteins (clotting factors). The disease requires immediate medical intervention in order to prevent the death of the patient.

There are several contributing factors that can make haemophilia and the symptoms associated with it turn worse, one of the major ones among them is head trauma. The condition can also lead to bleeding inside your body, especially in your knees, ankles and elbows. Internal bleeding can damage your organs and tissues and be life-threatening.

In this article, we will take a close look at how a minor head trauma can result in the death of a patient suffering from haemophilia. We spoke to Dr Tanmay Deshpande, Consultant General Paediatrics and Paedaitric Genetics and Metabolic Diseases, Sir HN Reliance Foundation Hospital, to understand more about the condition and factors that can make it worse. Here's what the doctor has to say.

How Minor Head Trauma Can Result In Death In Haemophilia Patients

In this genetic defect, the patient is unable to make factor VIII or Factor IX (Hemophilia A or B respectively). Due to this, when these individuals undergo any kind of trauma which results in bleeding, secondary to the absence of clotting factors (VIII and IX), the bleeding does not stop and this may lead to a catastrophic event.

Any individual who is affected with Hemophilia should avoid contact sports or any such sport which possesses a risk of an external or an internal bleed. These sports include Boxing, Karate, heavy Gymnastics etc.

If the individual has a moderate or severe form of the disease (factor concentration between 5-40% and <1% respectively), then even a minor trauma like a minor head injury may lead to internal bleeding. Here are some of the risk factors that can contribute to death in haemophilia patients:

  1. Intra cranial bleeding or haemorrhage is one of the leading causes of death in patients with Hemophilia, especially in patients with severe Hemophilia.
  2. Internal bleeding secondary to peptic ulcers (injury due to high level of acidity) is another silent cause of death in patients with severe Hemophilia.
  3. Factor transfusion in cases of severe or moderate Hemophilia is the treatment of choice. Maintenance of hemostasis i.e. cessation of bleeding by maintaining Factor levels between >40% is the aim of the treatment.

How Can One Ensure Safety?

According to the doctor, a holistic diagnostic and management approach is key to successfully treating a case of Hemophilia. To ensure timely medical intervention one must make a visit to the doctor immediately when the below-mentioned symptoms appear:

  1. Painful, prolonged headache
  2. Repeated vomiting
  3. Sleepiness or lethargy
  4. Double vision
  5. Sudden weakness or clumsiness
  6. Convulsions or seizures
  7. Signs or symptoms of bleeding into the brain
  8. An injury in which the bleeding won't stop
  9. Swollen joints that are hot to the touch and painful to bend
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