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Semin Thromb Hemost 2015; 41(08): 832-837
DOI: 10.1055/s-0035-1564445
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Blood-Induced Arthropathy in Hemophilia: Mechanisms and Heterogeneity

Carl P. Blobel
1   Arthritis and Tissue Degeneration Program, Hospital for Special Surgery, New York, New York
2   Department of Medicine, Weill Cornell Medical College, New York, New York
3   Department of Physiology, Biophysics and Systems Biology, Weill Cornell Medical College, New York, New York
4   Institute for Advanced Study, Technische Universität München, Garching, Germany
,
Coline Haxaire
1   Arthritis and Tissue Degeneration Program, Hospital for Special Surgery, New York, New York
,
George D. Kalliolias
1   Arthritis and Tissue Degeneration Program, Hospital for Special Surgery, New York, New York
2   Department of Medicine, Weill Cornell Medical College, New York, New York
,
Edward DiCarlo
5   Department of Pathology and Laboratory Medicine, Hospital for Special Surgery, New York, New York
,
Jane Salmon
2   Department of Medicine, Weill Cornell Medical College, New York, New York
6   Autoimmunity and Inflammation Program, Hospital for Special Surgery, New York, New York
,
Alok Srivastava
7   Department of Hematology, Christian Medical College, Vellore, Tamil Nadu, India
› Author Affiliations
Further Information

Publication History

Publication Date:
09 October 2015 (online)

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Abstract

Hemophilia A is an X-linked bleeding disorder that can be largely controlled by treatment with recombinant factor VIII. However, this treatment is only partially effective in preventing hemophilic arthropathy (HA), a debilitating degenerative joint disease that is caused by intra-articular bleeding events. The disease progression of HA has several distinct steps, beginning with hemophilic synovitis (HS), a hyperplasia of the synovial lining coupled with a neovascular response, followed by joint erosion with cartilage destruction and erosion of the underlying bone. The early stages of HA have certain features in common with arthritides such as rheumatoid arthritis (RA), whereas the later degenerative stages of HA have some similarities with osteoarthritis (OA). The main purpose of this review is to explore the similarities between HA with RA and OA and discuss how this information could potentially help understand the pathogenesis of HA and uncover new treatment opportunities.

Keywords

hemophilic arthropathy - rheumatoid arthritis - inflammation - osteoarthritis - cartilage degradation
 

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