F XI Deficiency Mutation Database©
Sumbit New Mutations
  • Please inform us of any mutations or patients that are not already in the database using the submission form below.
Mutation Information
Nucleotide: Codon No: Domain:
Mutation Type: Initial Residue: Mutated Residue:
Does patient have another mutation?
Patient Information
Deficiency: Genotype:
FXI:C: FXI:Ag:
Patient Age and Sex: Patient Race:
Bleeding symptoms:
-Dental Extractions Number after age 12:
Bleeding requiring packing/suturing/return to dentist:
Bleeding requiring transfusion:
-Surgical Operations Procedures:
Bleeding requiring re-operation:
Bleeding Requiring transfusion/iron supplements:
-Menhorragia Require double protection:
Bleeding through protection:
Causing anaemia:
Requires pill/D & C/hysterectomy:
Menhorragia since menarche:
-Post Partum Haemorrhage Bleeding requiring suturing/packing:
Bleeding requiring transfusion:
-Epistaxis Requiring nasal packing:
-Severe Bruising After trauma:
Spontaneous:
-Post traumatic bleeding (greater than expected for degree of trauma).
Please give details:
Any Other Comments/
Treatment Info:
Reference:
Your Email:
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