oa Central African Journal of Medicine - Hereditary bleeding disorders in Zimbabweans

Volume 33, Issue 3
  • ISSN : 0008-9176



This retrospective study documents 112 patients seen in Zimbabwe from January 1980 through to June 1986 who had been confirmed to have hereditary bleeding disorders. Haemophilia formed 84,8 per cent of the cases, Christmas disease 9,8 percent, von Willebrand's disease (vWD) 1,8 per cent and other, rarer coagulation factor deficiences accounted for 3,6 per cent Although the clinical picture and course of these haemorrhagic disorders bear a close resemblance to those previously descriptionbed elsewhere in the medical literature, it is to be noted that very severe and very mild cases at the extreme end of the clinical spectrum are probably missed, particularly in very busy medical centres where the index of suspicion is low and infectious diseases predominate and, therefore, easily attract the attention of most health workers. The problems of diagnosis, management and ultimate haemophilia care services encountered in most developing countries are succinctly highlighted. The study serves as evidence that haemophilia is not rare in Zimbabwe as had been assumed previously. As the steadily improving diagnostic and medical care facilities are extended to the majority in the community, more of these cases are likely to be diagnosed.

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