Haemophilia early arthropathy detection with ultrasound and haemophilia joint health score in the moderate haemophilia (MoHem) study

نویسندگان

چکیده

Introduction Detection of early arthropathy is crucial for the management haemophilia, but data on moderate haemophilia are limited. Therefore, we evaluated joint health and treatment modalities in Nordic patients with A (MHA) B (MHB). Aim To explore compare Haemophilia Early Arthropathy Ultrasound (HEAD-US) Joint Health Score (HJHS) to detect haemophilia. Methods cross-sectional, multicentre study covering MHA MHB. was by HEAD-US HJHS 2.1. Results We assessed 693 joints 118 patients. scores (medians [interquartile ranges]) were as follows: elbows 0 points (0–0), knees (0–0) ankles (0–1). Respectively, HJHS: (0–1), (0–1) Cartilage (14%) bone (13%) most commonly affected HEAD-US. Frequent findings crepitus motion (39%), loss flexion (23%) extension ankles. correlated strongly (elbows r = .70, .60 .65), 24% had discordant scores. Joints zero points, 5% captured ≥1 point. Moreover, 26% without pathology. Notably, 31% normal Conclusion Overall, attained low implying good health. HJHS. In 5%, detected subclinical Crepitus frequently reported despite HEAD-US, thus not necessarily reflecting arthropathy. therefore improves assessment

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ژورنال

عنوان ژورنال: Haemophilia

سال: 2021

ISSN: ['1365-2516', '1351-8216']

DOI: https://doi.org/10.1111/hae.14245