Letter to the Editor

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Blood Res 2018; 53(4):

Published online December 31, 2018

https://doi.org/10.5045/br.2018.53.4.333

© The Korean Society of Hematology

Price of PRICE (Protection, Rest, Ice, Compression, and Elevation) redefined: a case of entrapment neuropathy in an individual with hemophilia

Pritish Chandra Patra, Prakas Kumar Mandal*, Debasis Gantait, Amrita Bhowmik, and Prantar Chakrabarti

Department of Hematology, NRS Medical College, Kolkata, India.

Correspondence to : Prakas Kumar Mandal. Department of Hematology, NRS Medical College, 138, AJC Bose Road, Kolkata 700014, India. prakas70@gmail.com

Received: June 11, 2018; Revised: July 16, 2018; Accepted: September 4, 2018

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Fig. 1.

Clawing of all fingers and bluish appearance of the palm (at presentation).


Fig. 2.

Magnetic resonance imaging (MRI) showing the presence of intra-articular collection in the wrist and neurovascular plane.


Fig. 3.

With regular clotting factor replacement and physiotherapy, significant clinical improvement and movement in the small joints of the hand improved. No residual neurological deficit was observed after 4 weeks.


  1. Rodriguez-Merchan EC. Peripheral nerve injuries in haemophilia. Blood Transfus 2014;12:s313-s318.
    Pubmed
  2. Kaymak B, Ozçakar L, Cetin A, Erol K, Birsin Ozçakar Z. Concomitant compression of median and ulnar nerves in a hemophiliac patient: a case report. Joint Bone Spine 2002;69:611-613.
    Pubmed
  3. Donaldson J, Goddard N. Compartment syndrome in patients with haemophilia. J Orthop 2015;12:237-241.
    Pubmed
  4. Ojike NI, Roberts CS, Giannoudis PV. Compartment syndrome of the thigh: a systematic review. Injury 2010;41:133-136.
    Pubmed
  5. Mayne AI, Howard A, Kent M, Banks J. Acute carpal tunnel syndrome in a patient with haemophilia. BMJ Case Rep 2012;2012:bcr0320126152.
  6. Katz SG, Nelson IW, Atkins RM, Duth RB. Peripheral nerve lesions in hemophilia. J Bone Joint Surg Am 1991;73:1016-1019.
    Pubmed

Article

Letter to the Editor

Blood Res 2018; 53(4): 333-334

Published online December 31, 2018 https://doi.org/10.5045/br.2018.53.4.333

Copyright © The Korean Society of Hematology.

Price of PRICE (Protection, Rest, Ice, Compression, and Elevation) redefined: a case of entrapment neuropathy in an individual with hemophilia

Pritish Chandra Patra, Prakas Kumar Mandal*, Debasis Gantait, Amrita Bhowmik, and Prantar Chakrabarti

Department of Hematology, NRS Medical College, Kolkata, India.

Correspondence to: Prakas Kumar Mandal. Department of Hematology, NRS Medical College, 138, AJC Bose Road, Kolkata 700014, India. prakas70@gmail.com

Received: June 11, 2018; Revised: July 16, 2018; Accepted: September 4, 2018

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Fig 1.

    Figure 1.

    Clawing of all fingers and bluish appearance of the palm (at presentation).

    Blood Research 2018; 53: 333-334https://doi.org/10.5045/br.2018.53.4.333

    Fig 2.

    Figure 2.

    Magnetic resonance imaging (MRI) showing the presence of intra-articular collection in the wrist and neurovascular plane.

    Blood Research 2018; 53: 333-334https://doi.org/10.5045/br.2018.53.4.333

    Fig 3.

    Figure 3.

    With regular clotting factor replacement and physiotherapy, significant clinical improvement and movement in the small joints of the hand improved. No residual neurological deficit was observed after 4 weeks.

    Blood Research 2018; 53: 333-334https://doi.org/10.5045/br.2018.53.4.333

    References

    1. Rodriguez-Merchan EC. Peripheral nerve injuries in haemophilia. Blood Transfus 2014;12:s313-s318.
      Pubmed
    2. Kaymak B, Ozçakar L, Cetin A, Erol K, Birsin Ozçakar Z. Concomitant compression of median and ulnar nerves in a hemophiliac patient: a case report. Joint Bone Spine 2002;69:611-613.
      Pubmed
    3. Donaldson J, Goddard N. Compartment syndrome in patients with haemophilia. J Orthop 2015;12:237-241.
      Pubmed
    4. Ojike NI, Roberts CS, Giannoudis PV. Compartment syndrome of the thigh: a systematic review. Injury 2010;41:133-136.
      Pubmed
    5. Mayne AI, Howard A, Kent M, Banks J. Acute carpal tunnel syndrome in a patient with haemophilia. BMJ Case Rep 2012;2012:bcr0320126152.
    6. Katz SG, Nelson IW, Atkins RM, Duth RB. Peripheral nerve lesions in hemophilia. J Bone Joint Surg Am 1991;73:1016-1019.
      Pubmed
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