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Answer to Case of the Week: May 13-May 20, 2010

5 different patients, Diagnosis please?


 




Bleeding in the scalp, retroperitoneum, ankle joint with cystic changes in the bone, into small bowel and into the retropharyngeal space and all are male patients.

Diagnosis: Hemophilia

Hemophilia A- x-linked recessive bleeding disorder resulting from deficiency of VIII.

 

Incidence: 1 in 10,000 males in US.

 

Hemophilia B- Christmas disease from deficiency of factor IX.

 

Incidence: 1 in 100,000.

 

Hemophilia C- Rare in US and lack of clotting factor XI.

 

The symptoms are mild and can occur in boys and girls.

 

Hemearthrosis occur in 70-90% of patients.

 

50% of patients develop arthropathy.

 

TAKE HOME MESSAGE:

 

Pseudotumor occurs in 1-2% of patients with severe hemophilia ( clotting factor level <1% of factor VIII)

     

Residents Submitting Correct Diagnosis - Case of the Week
Radiology
Pediatrics
VCU Resident
  • Judson Frye
  • Aaron Nordgren
  • Jeremy Camden
  • Kathryn Jones
  • Adam McLaurin
    Others
  • Dishant ShahUnited States of America
  • Brian TrottaUnited States of America
  • Nishard AbdeenCanada
  • Wael NemattallaEgypt
  • JAMAL ABAZIDSyrian Arab Republic
  • Theka SalmanIraq
  • Mantosh RattanUnited States of America
  • Rasha ElshafeyEgypt
  • Shanaree MuzinichUnited States of America
  • BOUTHINA IBRAHIMEgypt
  • Ravindra PatilIndia
  • John KirkhamUnited States of America
  • Anup GuptaIndia
  • Simon DupreAustralia
  • Shohreh RezaiAustralia
  • Gita KarandeIndia
  • Fahri AyzitTurkey
  • Gaurav KumarUnited States of America
  • Kshipra HemalUnited States of America
  • Seth AndersonUnited States of America
  • Rajesh SIndia
  • Amer ArefSaudi Arabia
  • Kumar LijeshIndia

    Disclaimer: This information is intended solely for resident review of presented cases which may or may not be pathologically proven. Information is derived from a number of published sources of varying reliability and does not represent original research from the institution. It is not intended to be comprehensive and should therefore not substitute for careful review of the literature.