Akademik Veri Yönetim Sistemi
Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, cilt.26, sa.1, ss.59-64, 2024 (Hakemli Dergi)
Objective: There are few studies on the assessment of
hemophilic arthropathy using the hemophilia early arthropathy
detection with ultrasound (HEAD-US) and hemophilia joint
health score (HJHS) scores.This study aimed to examine how
radiologists and rheumatologists could evaluate hemophilic
arthropathy in individuals with severe hemophilia using HEAD-
US and HJHS scores simultaneously.
Material and Methods: Between 2021 and 2022, 168 joints
from 28 individuals with severe hemophilia A and B were
investigated at six-month intervals (TP1 and TP2). The HJHS
scores of all patients were recorded. The HEAD-US in each
hemophilic patient's six joints (elbow, knee, and ankle) were
evaluated by radiologists and rheumatologists.
Results: The ankle assessment by HEAD-US showed the
highest rate (34%) of synovitis by radiologist evaluation at TP1
in patients with an HJHS score of 0. The knee assessment by
HEAD-US showed the highest rate (56%) of synovitis and bone
damage by rheumatologist evaluation at TP1 in patients with an
HJHS score of 0. HEAD-US ankle and knee examinations
revealed the highest rate of synovitis (34%) by radiologist
evaluation at TP2 in patients with an HJHS score of 0. The
HEAD-US knee assessment revealed the highest rate of
synovitis (44%) by rheumatologist evaluation at TP2 in patients
with an HJHS score of 0. In the assessment of elbow and knee
joints, there was a moderate to good correlation between HJHS
and HEAD-US scores by different caregivers at different time
points (p< 0.05).
Conclusion: Our findings indicate that clinicians play a crucial
role in the early diagnosis of subclinical hemophilic arthropathy,
with HEAD-US scoring conducted by rheumatologists similar
to radiologists in severe hemophilia patients without pathology
in HJHS scoring.