In general symptoms are internal or external bleeding episodes, which are called "bleeds". In cases of moderate haemophilia symptoms are variable which manifest along a spectrum between severe and mild forms. Internal bleeding is common in people with severe haemophilia and some individuals with moderate haemophilia. The most characteristic type of internal bleed is a joint bleed where blood enters into the joint spaces. If not treated promptly, joint bleeds can lead to permanent joint damage and disfigurement. Children with mild to moderate haemophilia may not have any signs or symptoms at birth especially if they do not undergo circumcision.
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