Open AccessPseudotumor involving the distal femur – the rare presentation.
Author(s) -
Badar u Din Sahito,
Muhammad Adeel Ahmed,
Dillep Kumar,
Ayesha Ayub,
Suneel Kumar,
Nauman Hussain
Publication year - 2021
Publication title -
the professional medical journal/the professional medical journal
Language(s) - English
Resource type - Journals
eISSN - 2071-7733
pISSN - 1024-8919
DOI - 10.29309/tpmj/2021.28.10.5307
Subject(s) - medicine , presentation (obstetrics) , histopathology , thigh , biopsy , surgery , physical examination , knee joint , knee pain , radiology , pathology , osteoarthritis , alternative medicine
Pseudotumor is the rare presentation of hemophilia, and is the sign of severe disease. We present a case of 16 years old boy with no known comorbid who presented with pain and swelling around the right distal thigh for one month, his physical examination, laboratory investigation and imaging were suspicious of any malignant pathology. Biopsy was performed and specimen was sent for histopathology, that turned to be clotted blood with no atypical or malignant cells. On the basis of above findings provisional diagnosis of hemophilia was made serum levels of factor VIII were sent and that turned out to be 2.2%. Factor VIII concentrates was administered, swelling around the knee joint gradually subsided after the administration of factor VIII but there was no improvement of range of movement at knee joint.