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It is not known how she got hemophilia, but many family members were affected by it

1. Her daughter Alice was a carrier and gave the gene to several children

a. Alice's daughter Alexandra

1. Alexandra's son Alexis

b. Alice's son Fredrick

c. Alice's daughter Irene

1. Irene's son Waldemar

2. Irene's son Henry

2. Victoria's son Leopold had hemophilia and passed it on as well

a. Leopold's daughter Alice was a carrier

1. Alice's son Rupert, Viscount Trematon

3. Victoria's daughter Beatrice was a carrier and passed it on

a. Beatrice's daughter Victoria Eugenie or Ena

1. Ena's son Alfonzo

2. Ena's son Gonzalo

b. Beatrice's son Leopold

c. Beatrice's son Maurice

There might have been more, but we will never know. Because Tsarina Alexandra's daughters died before being able to have children we will never know if they were carriers of hemophilia. Statistically though at least one of them was more than likely a carrier.

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