Table 1.

Association of bleeding manifestations with severity of disease based on plasma clotting factor levels

SeverityPlasma clotting factor levelsBleeding manifestations
Mild 5%-<40% of normal Bleeding with major trauma or surgery; rare spontaneous bleeding 
Moderate 1%-5% of normal Bleeding with minor trauma or surgery; occasional spontaneous bleeding 
Severe <1% of normal Spontaneous bleeding predominantly in the joints or muscles but can occur anywhere, including life-threatening intracranial bleed 
SeverityPlasma clotting factor levelsBleeding manifestations
Mild 5%-<40% of normal Bleeding with major trauma or surgery; rare spontaneous bleeding 
Moderate 1%-5% of normal Bleeding with minor trauma or surgery; occasional spontaneous bleeding 
Severe <1% of normal Spontaneous bleeding predominantly in the joints or muscles but can occur anywhere, including life-threatening intracranial bleed 

Adapted with permission from Srivastava, A, Santagostino, E, Dougall, A, et al. WFH Guidelines for the Management of Hemophilia, 3rd edition. © 2020 World Federation of Hemophilia. Haemophilia © 2020 John Wiley & Sons Ltd.

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