Patients with hemophilia A has bleeding disorder because of-
**Core Concept**
Hemophilia A is a genetic disorder characterized by a deficiency in clotting factor VIII, leading to impaired blood coagulation and increased susceptibility to bleeding. This condition is inherited in an X-linked recessive pattern, primarily affecting males due to their single X chromosome.
**Why the Correct Answer is Right**
The deficiency of clotting factor VIII in hemophilia A leads to a disruption in the intrinsic coagulation pathway. Normally, factor VIII binds to tissue factor and phospholipid surfaces to facilitate the activation of factor X by factor IXa. The absence or dysfunction of factor VIII results in a cascade of coagulation abnormalities, ultimately leading to prolonged bleeding times and increased risk of hemorrhage. This deficiency is often caused by mutations in the F8 gene, which encodes the factor VIII protein.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is not relevant to hemophilia A, as it is not associated with a deficiency of factor VIII.
**Option B:** While factor XIII is involved in stabilizing the fibrin clot, its deficiency does not cause hemophilia A.
**Option C:** Factor X deficiency leads to a different bleeding disorder, known as factor X deficiency or Stuart-Prower factor deficiency.
**Clinical Pearl / High-Yield Fact**
It's essential to note that hemophilia A is primarily inherited in an X-linked recessive pattern, and females can be carriers of the mutated F8 gene, although they rarely display symptoms.
**Correct Answer:** C. Factor X deficiency leads to a different bleeding disorder, known as factor X deficiency or Stuart-Prower factor deficiency.