Case Scenario Part 5:
Adulthood

– Jeffrey is now 34 years old

• Married and would like to start a family
• Works as an accountant
• Slightly overweight due to a sedentary lifestyle
• No longer infuses factor replacement prophylactically despite being instructed to do so by his physician because he says “I just don’t bleed as often"

– Medical history

 

• Unremarkable except for periodic bleeding episodes

– Current status

 

• Would like to start a family but is concerned about passing hemophilia to his children
• A recent physical examination revealed that his blood pressure, cholesterol level, and blood glucose level are elevated