Immunologic studies have identified two genetically distinct types of hemophilia A. While a majority of patients apparently fail to synthesize AHF, a variant has been recognized in which a nonfunctional but antigenically cross-reacting AHF-like protein is present. Plasmas from two of twenty-seven families with hemophilia A have a cross-reacting material which inactivates an anticoagulant to AHF. Nonfunctional cross-reacting material was not present in plasmas from six patients with von Willebrand’s disease.

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