Diagnosis of haemophilic synovitis.

Haemophilia

Department of Orthopaedics, Royal Free Hospital, London, UK.

Published: November 2007

The pathophysiology of haemophilic synovitis is complex and not as well understood on a molecular level as we have thought. The repeated bleeding episodes and synovial hypertrophy occurring within the joint. Iron and other red-cell debris are phagocytized, and hydrolytic enzymes are produced leading to the destruction of articular cartilage is a simplistic model. However, how iron stimulates this destructive cascade remains speculative and poorly understood. Diagnostic options include radiographic examination using horizontal beam technique, which may reveal a fat blood fluid level, and computed tomography scanning or magnetic resonance imaging.

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Source
http://dx.doi.org/10.1111/j.1365-2516.2007.01535.xDOI Listing

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