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Acute Swollen Calf Pain With a Diagnosis of Hemophilia Following an MRI

Gourishankar, Anand MD, MRCP*; Sridhar, Divyaswathi C. MD; Rodriquez, Nidra MD

Journal of Pediatric Hematology/Oncology: October 2019 - Volume 41 - Issue 7 - p 559–560
doi: 10.1097/MPH.0000000000001511
Radiology Corner

Hemarthrosis is a common musculoskeletal presentation in hemophilia. Intramuscular bleed is not uncommon. We report a young child who had a minor injury and calf swelling. He was initially diagnosed with deep vein thrombosis (DVT). Magnetic resonance imaging confirmed intramuscular hematoma and factor VIII assay confirmed hemophilia.

Departments of *Pediatric Hospital Medicine

Pediatric Hematology Oncology, University of Texas Health Science McGovern Medical School, Houston, TX

Department of Pediatric Hematology Oncology, Case Western Reserve University School of Medicine, Cleveland, OH

The authors declare no conflict of interest.

Reprints: Anand Gourishankar, MD, MRCP, Department of Pediatrics/Pediatric Hospital Medicine, University of Texas Health Science McGovern Medical School, 6431 Fannin, Houston, TX 77030-1503 (e-mail:

Received September 12, 2018

Accepted April 15, 2019

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