A Challenging Case of Haemophilia

Deepali Swapnil Patil, Om C. Wadhokar*, Chaitanya A. Kulkarni

Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

ABSTRACT

Haemophilia it “philia” means love and “haemo” means blood it is a genetic disorder in which blood doesn’t clot which leads to excessive bleeding occurring to any injury or damage the bleeding is internal or external. Haemophilia is an X linked disorder. Females are carriers while males are sufferers. there are three types of haemophilia, haemophilia A, B and C out of this three type C is an autosomal recessive. The common symptoms present in haemophilia are pain, swelling, unexplained bleeding and blood in urine and stool. It is a rare condition 1 in million cases per year. Earlier haemophilia is treated by using Haemate P and Beriate P which dramatically improved the quality of life and life expectancy of haemophilia patients. The currently present treatment can help but cure is not yet found. Although physical therapy plays an important role in preventing joint bleeding and splinting to avoid further injury and a promptly designed programme to start weight bearing helps patient to gain back functionality. While recent advances like gene therapy, engineered clotting factors and an extensive pipeline of new approaches and modality. A 9 year old boy suffered a direct hit on his left knee there was no external bleeding at that time due to swelling the patient was taken to hospital where he was diagnose with haemophilia and was started with factors for Haemophila and then referred to physical therapy for pain, swelling, and improving strength. The patient responded very well to the physical therapy with significant improvement in the condition.

Keywords:

Haemophilia, exercises, arthropathy