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Iliopsoas Haemorrhage in Patients with Bleeding Disorders – Experience from One Centre by A. A. Ashrani; J. Osip; B. Christie; N. S. Key is a Medicine article available to read on EtoBox.

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**Summary.** Iliopsoas haemorrhage in patients with bleeding disorders is a potentially life‐threatening condition, with significantly associated morbidity. Despite its clinical importance, little has been published on the frequency, complications or outcomes of this entity since the advent of modern therapies for haemophilia. In a retrospective review of 297 patients with bleeding disorders followed at our centre, we identified 46 episodes of iliopsoas haemorrhage in 31 patients. Patients presented primarily with thigh, hip and/or groin pain, and frequently had flexion hip contracture, femoral nerve paresthesia, and >2 g dL^−1^ haemoglobin drop. The duration of symptoms prior to seeking medical attention was 3.8 ± 4 days. Nineteen of 155 patients (12.3%) with haemophilia A had 28 episodes of iliopsoas bleed; 52.6% of these patients had severe haemophilia. Of these 19 patients with haemophilia A who had iliopsoas haemorrhage, seven (36.8%) had an inhibitor to factor VIII (FVIII), and accounted for one‐half of the bleeding episodes. Nine of 66 patients (13.6%) with haemophilia B had 15 episodes of iliopsoas haemorrhage; 22.2% of these patients had severe haemophilia, including one p

Who reads Iliopsoas Haemorrhage in Patients with Bleeding Disorders – Experience from One Centre?

Author

A. A. Ashrani; J. Osip; B. Christie; N. S. Key

Publisher

John Wiley and Sons; Wiley (Blackwell Publishing); Blackwell Publishing Inc.; Wiley (ISSN 1351-8216)

Published

2003

Language

EN

Field

Medicine (Health Sciences)