Haemophilic arthropathy - elbow

Case contributed by Dr Ahmed Abd Rabou

Presentation

Patient known to have hemophilia complains of slowing growing elbow swelling

Patient Data

Age: 16 years
Gender: Female
MRI
The elbow synovial joint is distended by complex fluid and blood elements with no fluid/fluid levels detected probably because the blood was clotted. There is also yellow to red marrow conversion of the humerus, radius and ulna. No bony erosions detected. 

Case Discussion

Hemophilia is a congenital lack of one or more clotting factors with the development of bleeding tendency. Bleeding occurs inside the synovial joints and lead to hyperaemia and hemorrhatic effusion. This causes irritation of the synovial linining, hypertrophy and later on imprinting on the underlying articular surfaces and cause erosions.  
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Case information

rID: 25800
Case created: 8th Nov 2013
Last edited: 3rd Oct 2016
Inclusion in quiz mode: Included

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