Haemophilic arthropathy

Acquired haemophilia (AH) is extremely rare and potentially fatal bleeding disorder and it is associated with significant morbidity and mortality rate between 7.9% to 22%. Upto 90% of people with AH experience bleeding. It is mainly due to the spontaneous development of auto antibodies that inhibit the coagulant activity of factor VIII (FVIII). Autoimmune disorders (16.6%) like Rheumatoid arthritis, Systemic lupus erythematosus (SLE), Multiple Sclerosis etc., may lead to trigger acquired inhibitors to Factor VIII. In the case report we described a 70-year-old male patient who has history of migratory joint pains and swellings for five months and on physical examination there was an echymotic rash over the left hand elbow and left groin extending into the left thigh and we reemphasize that even though a series of effective treatment options available, a through workup, early diagnosis and early treatment are important