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Gaceta médica de México
versión On-line ISSN 2696-1288versión impresa ISSN 0016-3813
Resumen
ORTIZ, Guadalupe et al. Comparison of the clinical and ultrasound evaluation of haemophilic arthropathy in children. Gac. Méd. Méx [online]. 2022, vol.158, n.1, pp.12-16. Epub 25-Abr-2022. ISSN 2696-1288. https://doi.org/10.24875/gmm.21000326.
Background:
Joint ultrasound examination using the HEAD-US method in the detection of early arthropathy is poorly studied in our country.
Objective:
To compare the clinical and ultrasound evaluation of the joints in haemophilia.
Methods:
Longitudinal, prospective and descriptive study with paediatric patients with haemophilia A and B evaluated with the HJHS 2.1 scale and ultrasound with a linear transducer of 8 to 12 MHz. Elbows, knees and ankles joints were evaluated bilaterally, with HEAD-US protocol.
Results:
69 paediatric patients were included of which 48 with severe haemophilia A (weight: 40.1 kg). On the HJHS scale, a greater involvement was observed in the left knee (0.49), and less in the right ankle (0.05). With the HEAD-US scale, the most affected was the right knee (0.78). There is a significant relationship in the involvement of the right knee evaluated with the HEAD-US scale in the presence of inhibitor.
Conclusions:
Weight above the 50th percentile is an independent risk factor for joint bleeding complications, while age and type of haemophilia do not appear to be related. The HEAD-US method is a useful and accessible tool for early detection of arthropathy and hemarthrosis.
Palabras llave : Haemophilia; Arthropathy; HEAD-US; Ultrasound; Joint.