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Hemophilic Pseudotumor: Diagnosis, Treatment, and Complications

Hemophilic Pseudotumor: Diagnosis, Treatment, and Complications Abstract Patients with hemophilia are living longer as a result of improved therapeutic measures. Associated with this longevity is the increased occurrence of complications affecting the osseous system. One of the more serious bone complications is the hemophilic pseudotumor or hemophilic cyst. We studied its diagnosis, treatment, and complications, and report a case of an early hemophilic cyst occurring in a new location, the proximal part of the left clavicle. The increased incidence of this complication should alert the clinician to the possibility of these lesions appearing in previously unreported sites and demonstrating atypical roentgenographic features. Early recognition and treatment is essential if optimal therapeutic results are to be obtained. References 1. König F: Die Gelenkerkrankungen bei Blutern mit besonderer Berücksichtigung der Diagnose . Samml Klin Vortr Chir 36:233-242, 1892. 2. Starker L: Knochenusur durch ein hämophiles subperiostales Hämatom . Mitt Grenzgeb Med Chir 31:381-415, 1918-1919. 3. Stiris G: Bone and joint changes in haemophiliacs . Acta Radiol 49:269-275, 1958.Crossref 4. Fraenkel GJ, Taylor KB, Richards WCD: Haemophilic blood cysts . Br J Surg 46:383-392, 1959.Crossref 5. Abell JM Jr, Bailey RW: Hemophilic pseudotumor: Two cases occurring in siblings . Arch Surg 81:569-581, 1960.Crossref 6. van Creveld S, Kingma MJ: Subperiosteal haemorrhage in haemophilia A and B . Acta Paediatr 50:291-296, 1961.Crossref 7. Chen YF: Bilateral hemophilic pseudotumors of calcaneus and cuboid treated by irradiation: Case report . J Bone Joint Surg 47-A:517-521, 1965. 8. Jones DM: Haemophilic blood cyst: Report of a case . J Bone Joint Surg 47-B:266-267, 1965. 9. de Valderrama JAF, Matthews JM: The haemophilic pseudotumor or haemophilic subperiosteal haematoma . J Bone Joint Surg 47-B:256-265, 1965. 10. Steel WM, Duthie RB, O'Connor BT: Haemophilic cysts: Report of five cases . J Bone Joint Surg 51-B:614-626, 1969. 11. Brant EE, Jordan HH: Radiologic aspects of hemophilic pseudotumors in bone . Am J Roentgenol Radium Ther Nucl Med 115:525-539, 1972.Crossref 12. Witzel L, Becker F, Fuchs HF, et al: Pseudotumoren der Knochen bei Hämophilie . Dtsch Med Wochenschr 98:206-209, 1973.Crossref 13. Forbes CD, Moule B, Grant M, et al: Bilateral pseudotumors of the pelvis in a patient with Christmas disease: With notes on localization by radioactive scanning and ultrasonography . Am J Roentgenol Radium Ther Nucl Med 121:173-176, 1974.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Hemophilic Pseudotumor: Diagnosis, Treatment, and Complications

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References (15)

Publisher
American Medical Association
Copyright
Copyright © 1975 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1975.02120430053015
Publisher site
See Article on Publisher Site

Abstract

Abstract Patients with hemophilia are living longer as a result of improved therapeutic measures. Associated with this longevity is the increased occurrence of complications affecting the osseous system. One of the more serious bone complications is the hemophilic pseudotumor or hemophilic cyst. We studied its diagnosis, treatment, and complications, and report a case of an early hemophilic cyst occurring in a new location, the proximal part of the left clavicle. The increased incidence of this complication should alert the clinician to the possibility of these lesions appearing in previously unreported sites and demonstrating atypical roentgenographic features. Early recognition and treatment is essential if optimal therapeutic results are to be obtained. References 1. König F: Die Gelenkerkrankungen bei Blutern mit besonderer Berücksichtigung der Diagnose . Samml Klin Vortr Chir 36:233-242, 1892. 2. Starker L: Knochenusur durch ein hämophiles subperiostales Hämatom . Mitt Grenzgeb Med Chir 31:381-415, 1918-1919. 3. Stiris G: Bone and joint changes in haemophiliacs . Acta Radiol 49:269-275, 1958.Crossref 4. Fraenkel GJ, Taylor KB, Richards WCD: Haemophilic blood cysts . Br J Surg 46:383-392, 1959.Crossref 5. Abell JM Jr, Bailey RW: Hemophilic pseudotumor: Two cases occurring in siblings . Arch Surg 81:569-581, 1960.Crossref 6. van Creveld S, Kingma MJ: Subperiosteal haemorrhage in haemophilia A and B . Acta Paediatr 50:291-296, 1961.Crossref 7. Chen YF: Bilateral hemophilic pseudotumors of calcaneus and cuboid treated by irradiation: Case report . J Bone Joint Surg 47-A:517-521, 1965. 8. Jones DM: Haemophilic blood cyst: Report of a case . J Bone Joint Surg 47-B:266-267, 1965. 9. de Valderrama JAF, Matthews JM: The haemophilic pseudotumor or haemophilic subperiosteal haematoma . J Bone Joint Surg 47-B:256-265, 1965. 10. Steel WM, Duthie RB, O'Connor BT: Haemophilic cysts: Report of five cases . J Bone Joint Surg 51-B:614-626, 1969. 11. Brant EE, Jordan HH: Radiologic aspects of hemophilic pseudotumors in bone . Am J Roentgenol Radium Ther Nucl Med 115:525-539, 1972.Crossref 12. Witzel L, Becker F, Fuchs HF, et al: Pseudotumoren der Knochen bei Hämophilie . Dtsch Med Wochenschr 98:206-209, 1973.Crossref 13. Forbes CD, Moule B, Grant M, et al: Bilateral pseudotumors of the pelvis in a patient with Christmas disease: With notes on localization by radioactive scanning and ultrasonography . Am J Roentgenol Radium Ther Nucl Med 121:173-176, 1974.Crossref

Journal

American Journal of Diseases of Children – American Medical Association

Published: Jun 1, 1975

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