title: Clinical profile of hemophilia patients in Jodhpur Region.
abstract: BACKGROUND
  Hemophilia is widely distributed all over the world, but little is known about its clinical profile in resource-limited regions. An insight into its clinical spectrum will help in the formulation of policies to improve the situation in these areas.
  
  
  OBJECTIVE
  To study the clinical profile of hemophiliacs (age <18 years) in Jodhpur region and screen them for transfusion-transmitted infections.
  
  
  METHODS
  A cross-sectional study conducted in the Department of Pediatrics, Umaid Hospital, Dr. S. N. Medical College, Jodhpur, over a period of 12 months.
  
  
  RESULTS
  Out of a total of 56 cases enrolled, 51 (91%) cases were diagnosed as hemophilia A while 5 (9%) were diagnosed as hemophilia B. Positive family history was found in 26 (46%) cases. According to their factor levels, 25 (44%) cases had severe disease, 20 (36%) had moderate disease, and 11 (20%) had mild disease. The mean age of onset of symptoms and diagnosis was 1.73 ± 1.43 and 3.87 ± 3.84 years, respectively. First clinical presentation was posttraumatic bleed in 20 (36%), gum bleeds in 17 (30%), epistaxis in 4 (7%), joint bleeds in 4 (7%), skin bleeds in 4 (7%), and circumcision bleed in 3 (5%) cases. Knee joint was the predominant joint affected by hemarthrosis in 38 (68%), followed by ankle in 29 (52%), elbow in 20 (36%), and hip joint in 7 (13%) cases. All patients had a negative screening test for transfusion-transmitted infections.
  
  
  CONCLUSIONS
  Occurrence of posttraumatic bleeds and gum bleeds in an otherwise normal child should warn the clinician for evaluation of hemophilia.
authors.affiliation: Department of Pediatrics, Umaid Hospital, Dr. S. N. Medical College, Jodhpur, India.
authors.forename: Vikas
authors.initials: V
authors.lastname: Payal
authors.affiliation: Department of Pediatrics, Umaid Hospital, Dr. S. N. Medical College, Jodhpur, India.
authors.forename: Pramod
authors.initials: P
authors.lastname: Sharma
authors.affiliation: Department of Pediatrics, Umaid Hospital, Dr. S. N. Medical College, Jodhpur, India.
authors.forename: Vishnu
authors.initials: V
authors.lastname: Goyal
authors.affiliation: Department of Pediatrics, Umaid Hospital, Dr. S. N. Medical College, Jodhpur, India.
authors.forename: Rakesh
authors.initials: R
authors.lastname: Jora
authors.affiliation: Department of Pediatrics, Umaid Hospital, Dr. S. N. Medical College, Jodhpur, India.
authors.forename: Manish
authors.initials: M
authors.lastname: Parakh
authors.affiliation: Department of Radio Diagnosis, SMS Medical College, Jaipur, Rajasthan, India.
authors.forename: Deepika
authors.initials: D
authors.lastname: Payal
keywords: Clinical manifestation; hemarthrosis; hemophilia