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April 1, 1974

The Many Facets of Hemophilia

JAMA. 1974;228(1):85-92. doi:10.1001/jama.1974.03230260055033

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Protocol  THE patient was born in 1949 into a family where his maternal grandfather and a cousin were already known to have hemophilia. The patient hemorrhaged after circumcision, and the diagnosis of severe, classic hemophilia was made. During childhood, the boy had a typical pattern of hemorrhages into various joints and soft-tissue areas and was treated with whole plasma at another facility.Because of his hemophilia, his mother was anxious about permitting normal play, but his father encouraged it and asked that the boy take the responsibility for setting his own limitations.

School History.—  He began public school at age 5, but when the school physician became aware that the boy had hemophilia, he tried to arrange transfer to a school for the handicapped. The parents and the boy's private physician successfully appealed this decision before the school board, and the boy was allowed to remain in school when the