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KMID : 0378019730160010139
New Medical Journal
1973 Volume.16 No. 1 p.139 ~ p.143
Hemophilic Arthropathy



Abstract
Hemophilia is a hereditary disease which is transmitted as a sex-linked recessive trait and characterized by clotting defect and hemorrhagic manifestations caused by deficiency of one of three plasma thromboplastin factors, such as antihemophilic globulin(A. H. G. ), plasma thromboplastin component (P. T. C.) and plasma thromboplastin antecedent(P. T. A.).
Repeated hemorrhage to the joint produce irreversible tissue changes which are essentially hyperpl¡þastic; secondarily, the pain produced by these changes causes joint contracture and muscle atrophy.
This, 10 years old boy, had frequent bleeding episodes after minor trauma, and limitation of motion and some deformities of the both knees.
Plasma thromboplastin component deficiency hemophilia was diagnosed by impaired prothrombin utilization and Rosenthal test.
Treatment for this patient was consisted of aspiration of the involved joints, application of elastic bandage and splint.
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