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March 1948


Author Affiliations

From the Department of Surgery, Washington University School of Medicine, and Barnes Hospital.

Arch Surg. 1948;56(3):329-337. doi:10.1001/archsurg.1948.01240010336003

PATIENTS with prolonged bleeding time either from true hemophilia or from so-called pseudohemophilia commonly present symptoms referable to hemorrhage into major joints. Hemorrhage into bone itself is much less common, and frequently the resulting lesion is difficult to differentiate from some form of bone tumor. Such a situation was recently encountered in a case of pseudohemophilia.

REPORT OF A CASE  G. L. H., a 33 year old white married man of German extraction, entered Barnes Hospital on Dec. 16, 1946, with the complaint of swelling of his right thigh for sixteen years. He had always bled freely after relatively minor injuries but appeared to bleed more on some occasions than on others. At times he did not bleed any more than would be normal for the trauma incurred. At one time in his childhood he bled for two weeks after a minor cut on the tongue. He had had frequent moderately severe epistaxes for many years,