Hemophilic arthropathy

Sham Santhanam, M Madeshwaran, S Rajeswari
DOI: 10.15305/ijrci/v3i1/126


A 16-year-old boy, born through non-consanguineous marriage, presented with acute onset of left knee joint pain and swelling with no history of fever or trauma. He was a known case of hemophilia A with recurrent attacks of hemarthrosis since 3 years of age involving only the knee joints. His symptoms used to subside when receiving multiple (on demand) factor VIII infusions. Clinical examination revealed that the joints were warm, tender, and swollen. His knee radiography revealed subchondral cysts, widening of intercondylar notch, soft tissue swelling, flattened intercondylar surfaces,  erosions, generalized osteopenia on anteroposterior view, and squaring of patella on lateral view (Fig.1 and 2). The findings were suggestive of chronic hemophilic arthropathy.


Sham S, M Madeshwaran, Rajeswari S. IJRCI. 2015;3(1):V1 (8 January 2015) DOI: 10.15305/ijrci/v3i1/126


hemophilic arthropathy, Type A hemophilia