J Korean Soc Plast Reconstr Surg.  2007 Jul;34(4):515-518.

Experience of Hemophilic Pseudotumor Developed at the Fracture Site of the Proximal Phalanx of the Hand

• Park JU
• Kim CY
• Shin JI
• Cho SH

Abstract

PURPOSE: Hemophilia is one of the most common bleeding disorder, and circulating levels of factor VIII or IX are closely related to the severity and frequency of the bleeding. The severity of hemophilia is classified to be severe, moderate, and mild when the factor level is less than 1%, between 1% and 5%, and between 5% and 25%, respectively. Hemophilic pseudotumor is a rare complication occurring in 1-2% of patients with factor VIII or IX deficiency. If the treatment is delayed, it would cause disabling and life threatening results.
METHODS
We experienced hemophilic pseudotumor developed at the fracture site of the proximal phalanx of the hand in a hemophilic B patient. Hemophilic pseudotumor was successfully treated with perioperative factor replacement and surgical intervention included excision and autologous bone graft.
RESULTS
Hemophilic pseudotumor was healed with complete regression, and no specific complication was developed.
CONCLUSION
When we accounter hematoma like lesion after surgery unpredictably, we must consider hemophilic pseudotumor and make a accurate diagnosis with preoperative hematologic screening and various imaging study. Subsequently, adequate perioperative supplement of concentrate and surgical intervention brings to the satisfactory result without recurrence.

Keyword

Hemophilic pseudotumor; Factor replacement

MeSH Terms

Diagnosis
Factor VIII
Hand*
Hematoma
Hemophilia A
Hemorrhage
Humans
Mass Screening
Recurrence
Transplants
Factor VIII