Pathology · Platelet and Coagulation Disorders

A patient with hemophilia A has factor VIII activity measured at 0.5% of normal. According to standard classification, this patient's disease severity is categorized as:

  • A Mild hemophilia A
  • B Moderate hemophilia A
  • C Subclinical hemophilia A
  • D Severe hemophilia A
Correct answer: D. Severe hemophilia A

Explanation

Hemophilia A severity is classified by baseline factor VIII activity: severe is <1% (0.01 IU/mL), moderate is 1-5%, and mild is 5-40% of normal. At 0.5%, this patient has severe disease, characterized by spontaneous bleeding into joints and muscles. Mild hemophilia typically bleeds only with surgery or trauma. This classification guides prophylactic treatment decisions.

Reference: Robbins and Cotran Pathologic Basis of Disease, 10th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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