Muscle and Soft Tissue Bleeding

Muscle and
Soft Tissue Bleeding

DANGEROUS
AREAS

Forearm compartment

Neck/throat

Iliopsoas / retroperitoneal

Popliteal

Aggressive treatment may be indicated:
Contact Haemophilia Centre for advice.

Hospitalisation may be required.

SYMPTOMS
AND SIGNS

Muscle tightness
(early)

Pain

Pain

Swelling

Limited range
of motion

Bruising

Warmth

Refusal to use limb (young child)

BRUISING MAY
BE ABSENT WITH
DEEP MUSCLE
BLEEDING

Muscle compartment
bleeding (calf, forearm) may cause nerve damage or vascular compromise.

Asymmetry of use or motion in the young child.

TREATMENT

Replace missing factor

-- see:

Factor VIII Treatment
(Click to access)

Factor IX Treatment
(Click to access)

Ice packs.

Rest affected joint/limb
w Posterior splint
w Sling
w No weight bearing

Treat early.

Repeat infusions in 12 to 24 hours.

No circumferential casting.