Pain score in hemophilia children and adolescents

Articles in Press

Document Type : Original Article

Authors

1 Pediateric department, Faculty of medicine, Minia University, Minia,Egypt

2 Department of Pediatrics, Faculty of Medicine, Minia University,Egypt

3 Department of Rheumatology and Rehabilitation, Faculty of Medicine, Minia University,Egypt

4 Department, Division of Environmental Research, National Research Centre, Giza, Egypt

Abstract

Background: Hemophilia is an X-linked bleeding disorder. Bleeding attacks can induce acute pain, whereas long-term degenerations such arthropathy can produce chronic pain.

Aim of the work: to evaluate the pain score and to assess factors affecting pain intensity in hemophilia children and adolescents.

Patients and method: This study included 50 children and adolescents with hemophilia A/B, from 4years to 17 years. All children assessed with careful history taking; recording demographic, clinical data including factor level, annual bleeding rate (ABR) and arthropathy. Visual pain scale for all patients was assessed.

Results: Pain score had significant weak negative correlation with factor level (p value =0.04). Moderate and strong significant positive correlation with ABR and number of target joints, respectively (p value=0.0001 for both).

Conclusion: The more severity of factor deficiency, the more frequency of bleeding, the more arthropathy all leads to more pain to the suffering hemophilia children and adolescents.

Key words: hemophilia, pain, ABR, arthropathy.

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Minia Journal of Medical Research

Articles in Press, Accepted Manuscript
Available Online from 13 October 2024

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