Hemophiliac arthropathy

Case contributed by Jeremy Jones
Diagnosis certain

Presentation

Longstanding joint pain, but worsening ankle pain and stiffness

Patient Data

Age: 7 years
Gender: Male
x-ray

There is a large ankle joint effusion.  The distal tibial epiphysis and the talus are both sclerotic and there is marked irregularity of the talus and bone destruction.

Case Discussion

There are very few pathological processes that cause extensive joint destruction in children. This joint has been repeatedly damaged secondary to hemarthrosis in a patient with hemophilia

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