Haemophilic arthropathy; a case report

Area of Science:

• Orthopedics
• Hematology
• Rheumatology

Background:

• Haemophilic arthropathy is a significant complication of haemophilia, a rare inherited bleeding disorder.
• Knee swelling is a common orthopedic complaint with a broad differential diagnosis.
• Early recognition and management are crucial to prevent joint damage.

Observation:

• A 10-year-old boy with known haemophilia presented with right knee arthropathy.
• The patient exhibited symptoms suggestive of joint swelling and effusion.
• This presentation is rarely considered in the differential diagnosis of knee swelling in this region.

Findings:

• The case confirms the existence and management of haemophilic arthropathy in this specific environment.
• Multidisciplinary co-management with hematology and physical therapy was employed.
• Treatment involved fresh frozen plasma and targeted physical therapy, resulting in a positive patient response.

Implications:

• This case underscores the importance of including haemophilic arthropathy in the differential diagnosis of knee swelling, especially in patients with a history of bleeding disorders.
• It highlights the need for increased awareness and experience in managing this rare condition in the local context.
• Effective management strategies involve a collaborative approach between orthopedic surgeons, hematologists, and physical therapists.