Haemophilic arthropathy

Case contributed by Omar Wishyar Jamal

Presentation

Unilateral knee swelling.

Patient Data

Age: 16 years
Gender: Male
MRI

Knee MRI

There is extensive synovial thickening with a heterogeneous mass of old blood and hemosiderin internally, involving the entire knee joint associated with complete loss of the articular cartilage, mainly involving the medial joint compartment along with multiple bony erosions and subchondral cysts formation in the distal femur, proximal tibia and patella (knee joint).

Advanced degeneration of both menisci and ligaments seen.

Appearances are of hemophilic arthropathy.

Case Discussion

Given such images of advanced degenerative changes in a 16 year old male with a known history of haemophilia, and the MRI also demonstrating marked synovial hemarthrosis - this is diagnostic of haemophilic arthropathy.

Credit: Dr Sameeah Abdulrahman Rashid.

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Case information

rID: 63201
Published: 11th Oct 2018
Last edited: 11th Oct 2018
Inclusion in quiz mode: Included
Institution: Rizgary Teaching Hospital

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