Radiology of Haemophilic Arthropathies

ISBN-13: 9789400993020 / Angielski / Miękka / 2012 / 135 str.

Jeno Forrai

Opis

The use of potent coagulation factor concentrates has dramatically changed the clinical picture and the life expectancy of haemophiliacs. The aim of well-organized care of haemophiliacs is to prevent not only life-threatening bleeding episodes, but also the development of disabling arthropathies. In spite of numerous effective drugs and the beneficial effect of early synovectomy, haemophilic arthropathy will long remain a crux of everyday practice. Based on 10 years' experience at the National Institute of Haematology and Blood Transfusion, this volume presents a detailed description of the X-ray morphology of haemophilic arthropathy. The rich series of illustrations should serve for guidance in diagnostics and differential diagnostics, and will provide help in establishing the stage and in estimating the prognosis. It will be of interest to all physicians engaged in the care of haemophiliacs. Susan R. Hollan, M. D. Corresponding Member of the Hungarian Academy of Sciences, Professor of Haematology. Director of the National Institute of Haematology and Blood Transfusion 9 Acknowledgements I gratefully acknowledge the help of all those who have contributed to this mono graph. First I wish to acknowledge the help of Professor Susan Hollan, Corre sponding Member of the Hungarian Academy of Sciences, Director of the National Institute of Haematology and Blood Transfusion, Professor of Haematology at the Postgraduate Medical School, Editor-in-chief of Haemat%gia, an internation al quarterly, who provided us with the most modern equipment and has been interested in, and encouraged, our work throughout."

Spis treści

Statistical Data and Basic Considerations.- Age distribution.- Type of haemophilia.- Age at the first bleeding episode.- Site of the first haemorrhage.- Affected joints.- Bleedings in other organs.- Stages of Haemophilic Arthropathy.- Acute Haemarthrosis.- General clinical, pathological and radiomorphological aspects.- Characteristic features of individual joints.- Lower extremities.- Knee.- Ankle.- Hip.- Upper extremities.- Elbow.- Shoulder.- Panarthritis.- General aspects.- Characteristic features.- Lower extremities.- Knee.- Ankle.- Hip.- Upper extremities.- Elbow.- Shoulder.- Wrist.- Regression.- General aspects.- Characteristic features.- Knee.- Ankle.- Hip.- Elbow.- Shoulder.- Other Characteristic Conditions of Haemophiliacs.- Pseudotumour.- Bone fractures.- Myositis ossificans.- Haematuria.- Gastrointestinal haemorrhages.- Retroperitoneal bleedings.- Intrapulmonary bleeding episodes and haemothorax.- Neurological complications.- The Role of Radiology in Diagnostics and Care.- Differential diagnosis of haemophilic arthropathy.- Radiology in haemophiliac care.- Conclusions.- References.- Atlas.- Knee.- Haemarthrosis.- Panarthritis.- Regression.- Ankle.- Haemarthrosis.- Panarthritis.- Regression.- Hip.- Haemarthrosis.- Panarthritis.- Regression.- Elbow.- Haemarthrosis.- Panarthritis.- Regression.- Shoulder.- Haemarthrosis.- Panarthritis.- Wrist.- Haemarthrosis.- Panarthritis.- Non-Arthropathie Changes in Haemophiliacs.