| Hemophilic arthropathy |
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| Friday, 21 May 2010 09:25 |
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History (HX): Pain and swelling of the right elbow and right ankle / clinical history of hemophilia, Male 13 yr
Findings: Hemosiderin deposing in synovial membrane around these joints low signal on both T1W and T2WI Subchondral and intraosseous cysts. Most of them high signal on T2WI and low signal on T1WI compatible with nonhemorrhagic fluid and some are low signal on both T1WI and T2WI representing fibrotic tissue and hemosiderin Small cortical erosions
Diagnostic (DX): Hemophilic arthropathy
Discussion: The differential diagnosis of synovial-based lesions hypointense on T2WI includes PVNS, GCT of tendon sheath, synovial chondromatosis, hemophilic arthropathy, amyloid , longstanding RA and siderotic synovitis |
