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Living with Thrombomodulin-related bleeding disorder

A rare genetic condition with a strong tendency to bleed and bruise because of high thrombomodulin in the blood.

Understanding Thrombomodulin-related bleeding disorder

Thrombomodulin-related bleeding disorder is a rare genetic clotting disorder with a marked tendency to bleed.

People bruise easily and bleed after injury, in soft tissue and muscles, and in joints. Women can have heavy periods. It happens because blood has high levels of soluble thrombomodulin, which lowers the blood's ability to form clots. It can appear at any time in life.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Easy bruising and bleeding after injury
  • Bleeding into soft tissue and muscle
  • Bleeding into joints
  • Heavy menstrual periods
  • Blood clots in deep veins (deep venous thrombosis)
  • Blood clot in the lungs (pulmonary embolism)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include blood and bone marrow specialists and genetic specialists.

  3. Consider genetic testing

    Changes in THBD are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Blood and bone marrow specialists (hematologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with National Bleeding Disorders Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can genetic testing of the THBD gene confirm this diagnosis?
What blood tests show how my blood clots?
What should we do before surgery or dental work?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Dominant
GenesTHBD

This condition is caused by changes in the THBD gene. It is autosomal dominant, which means one changed copy of the gene can be enough to cause it.

GeneticBlood

Also known as: thbd (thrombomodulin) related bleeding disorder; thbd-related bleeding disorder; thbd-related coagulopathy; thph12; thrombomodulin-related coagulopathy; thrombophilia 12 due to thrombomodulin defect

Patient organizations

Source: NIH GARD · Thrombomodulin-related bleeding disorderGARD ID 17726 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Thrombomodulin-related bleeding disorder.

Explore the Thrombomodulin-related bleeding disorder blog

Explore research for Thrombomodulin-related bleeding disorder

Explore actively recruiting Thrombomodulin-related bleeding disorder studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Thrombomodulin-related bleeding disorder with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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