Neurobionplus
Home About Journal AHEAD OF PRINT Current Issue Back Issues Instructions Submission Search Subscribe Blog    
Login 

Users Online: 354 
Print this page  Email this page Small font sizeDefault font sizeIncrease font size 
CASE REPORT
Year : 2007  |  Volume : 41  |  Issue : 3  |  Page : 250-251

Slipped upper femoral epiphysis with hemophilia A


Department of Orthopedics, Royal Free Hospital, Pond Street, London NW3 2QG, United Kingdom

Correspondence Address:
Deepa Iyer
Room 3, Flat 2, Stamford and Rutland Hospital, Ryhall Road, Stamford PE9 1UA Stamford
United Kingdom
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.33694

Rights and Permissions

A 13-year-old boy who had hemophilia A was reported with pain in the left thigh and hip on walking. He had no history of trauma. Severe hemophilia A is diagnosed with a Factor VIII level of <1 iu/dl. The presumptive diagnosis was that of a spontaneous bleed into the hip joint. Factor VIII mutational analysis revealed a C to G substitution at nucleotide 6683 which results in a cystine change at codon 2194. However, the symptoms persisted and an X-ray demonstrated the presence of an acute on chronic slip of the upper femoral epiphysis. The patient was transferred to the center treating his hemophilia where the hip was pinned in situ under cover with Factor VIII. This case demonstrates the need to be aware of a possible traumatic diagnosis of hip pain in a hemophiliac child with a longstanding history of spontaneous bleeding into joints.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed3648    
    Printed125    
    Emailed0    
    PDF Downloaded157    
    Comments [Add]    

Recommend this journal