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July 25, 1990

Hemophilia in the Child and Adult

Author Affiliations

University of Illinois—Chicago College of Medicine

University of Illinois—Chicago College of Medicine

JAMA. 1990;264(4):526. doi:10.1001/jama.1990.03450040124045

This monograph has been written by the who's who of hemophilia care in the United States. Curiously, the text assumes the diagnosis has been made and lacks historical background and discussion of clinical presentations. Thus, readers have no sense of what happens when therapy is not done correctly unless they know from their own experience.

The text begins with an extensive review of treatment options and dosage recommendations for various types of bleeding and surgical prophylaxis. Three detailed tables make the recommendations user friendly, because authoritative options are quickly located.

Then follow chapters with in-depth discussion of the muscloskeletal and neurological complications. The extraordinarily complex problem of pseudotumor management occupies a separate chapter. The physical therapy and rehabilitation chapter comes much later in the text, but should be read following the aforementioned chapters.

The problem of chronic liver disease in hemophilics is well summarized, and, because the incubation period from