Radiological aspects of musculoskeletal complications in three hemophilic patients with long-term follow-up

Ousmane Aminata Bah; Jawad Mesrar; Alpha Abdoulaye Balde; Abarchi Habibou Boube; Mamadou Oury Bah; Lantam Sonhaye; Douraied Ben Salem; Mar Garetier

doi:10.4103/wajr.wajr_26_18

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CASE REPORT

Year : 2020 | Volume : 27 | Issue : 1 | Page : 63-67

Radiological aspects of musculoskeletal complications in three hemophilic patients with long-term follow-up

Ousmane Aminata Bah¹, Jawad Mesrar², Alpha Abdoulaye Balde³, Abarchi Habibou Boube⁴, Mamadou Oury Bah³, Lantam Sonhaye⁴, Douraied Ben Salem⁵, Mar Garetier⁶
¹ Department of Radiology, Cavale Blanche Hospital, CHRU Brest, University of Western Brittany, Brest, France; Department of Radiology, Donka National Hospital, Conakry University Hospital, University of Conakry, Guinea
² Department of Radiology, Cavale Blanche Hospital, CHRU Brest, University of Western Brittany, Brest, France
³ Department of Radiology, Donka National Hospital, Conakry University Hospital, University of Conakry, Guinea
⁴ Department of Radiology, University of Lome, University Campus Lome, Lome, Togo
⁵ Department of Radiology, Cavale Blanche Hospital, CHRU Brest, University of Western Brittany; LaTIM, INSERM, UMR 1101, Univ Brest, Brest, France
⁶ LaTIM, INSERM, UMR 1101, Univ Brest; Department of Radiology, HIA Clermont Tonnerre, Brest, France

Correspondence Address:
Dr. Ousmane Aminata Bah
Department of Radiology, Cavale Blanche Hospital, University of Western Britany, Brest; Department of Radiology, Donka National Hospital, Conakry University Hospital, University of Conakry

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/wajr.wajr_26_18

Objective: The objective of the study is to describe the radiological aspects of musculoskeletal complications of hemophilia found in three patients. Patients and Methods: It is a retrospective review of clinical and radiological records of three known and followed hemophilic patients, whose radiological examinations were carried out and archived on the Picture Archiving and Communication System of the University Hospital. Results: The three patients were male with severe hemophilia A, using recombinant factor VIII replacement therapy on demand, followed during 10 years. Joint bleeding was the most frequent complication. We found hemarthrosis at ultrasound in two patients (one after a minor trauma of the knee and one after repeated traumas of the ankle) and at magnetic resonance imaging (MRI) in the three patients (three in the knee and two in the ankle) and chronic arthropathy in two patients (two in the knee and one in ankle. The muscular lesions detected at ultrasound were hematomas of the left soleus muscle, right vastus medialis muscle, and right rectus abdominis muscle. Conclusion: Bleeding in hemophilic patients affects both muscles and joints, with long-term consequences for the joints. Medical imaging was very useful for the detection and follow-up of joint and muscle lesions in these three patients, based on ultrasound and MRI with T2* sequence.

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