Objectives We aimed to describe the ultrasonographic findings in chronic haemophilic arthropathy.
Methods Twenty-six children (mean age 11.3±3.8 years [4-18], all male, were included in this study; twenty-three of them (88.5%) had severe haemophilia. All patients have at least one joint affected by chronic haemophilic arthropathy.
Sixty-one joints were sonographicaly examined with a high-frequency probe (7-14Mhz) in Doppler and B modes.
Following ultrasonographic parameters were analysed: synovitis, doppler activity, joint effusion, bone erosion, osteophytes and foreign bodies.
Results Chronic haemophilic arthropathy affected knees elbows and ankles in respectively 49, 31.1 and 19.6%.Chronic haemophilic arthropathy affected more than one joint in 87%.
The table summarizes ultrasonographic findings in joints examined.
Conclusions Ultrasonography seems to be be an interesting tool to show as well patterns of disease flare than joints status. This simple and practical examination should be intagred in practice to monitoring children suffering from chronic hemophilic arthropathy especially in developing countries.
Disclosure of Interest None declared
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