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Congenital Afibrinogenemia Causes and Risks: This rare disease is caused by an autosomal recessive gene. There may be either a lack of fibrinogen or defect in the function of fibrinogen (a substance necessary for clotting of blood). It can occur in both sexes. Symptoms: Note: This condition usually does not produce severe, spontaneous bleeding. Signs and Tests: If a tendency to bleed is suspected, laboratory tests are performed to determine the type and extent. Tests include: Treatment: Treatment is only necessary if there is severe bleeding or in preparation for surgery. Patients may be transfused with plasma (the liquid portion of the blood), concentrated fibrinogen , or cryoprecipitate (a blood product containing concentrated fibrinogen). Individuals with this condition should be immunized with the hepatitis B vaccine because of the increased risk of developing hepatitis due to transfusion of blood products. Prognosis: The prognosis is good when patients seek proper treatment. Complications: Complications usually only occur with trauma: Call Your Healthcare Provider: Call your health care provider or seek emergency care if excessive bleeding occurs. Notify your surgeon before you have surgery if you know or suspect you have a blood disorder.
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