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E. Carlos Rodriguez-Merchan
E. Carlos Rodriguez-Merchan
Paseo de la Castellana 261, 28046-Madrid
Spain
Publications
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Review Article
The Hemophilic Joints
Author(s): E. Carlos Rodriguez-MerchanE. Carlos Rodriguez-Merchan
Recurrent hemarthroses in childhhood before the initiation of primary prophylaxis will result in joint damage after a decade or later. The best way that we have today to protecting against hemophilic arthropathy is primary prophylaxis. The decision to institute early full prophylaxis by means of a port (central venous access device) has to be balanced against the child’s bleeding tendency, the family’s social situation and the experience of the specific hemophilia center. The reported complication rates for infection and thrombosis have varied considerably from center to center. Risk of infection can be reduced by repeated education of patients and staff, effective surveillance routines and limitations on the number of individuals allowed to use the device. In discussing options for early therapy, the risks and benefits should be thoroughly discussed with the parents. From.. View More»
DOI: 10.4172/2155-9864.1000111