Glanzmann Thrombasthenia Associated with Siderotic Synovitis and Arthropathy: A Case Report

Abstract

Glanzmann thrombasthenia is a bleeding disorder with a low incidence. It typically manifests as superficial bleeding episodes, which tend to be mild. Deep organ involvement is not uncommon but remains rare due to the rarity of the disease itself and the unusual association between platelet disorders and deep organ implications. A 17-year-old boy with Glanzmann thrombasthenia since infancy developed ankle pain after a minor trauma. His initial workup was negative, but he continued to experience ankle pain. A magnetic resonance imaging (MRI) done after four weeks suggested siderotic synovitis. The patient was lost to follow-up after that and returned after two years with recurrent left ankle pain. Imaging and studies have shown evidence of chronic arthropathy. A specialized orthopedic team assessed the patient. The patient underwent intra-articular steroid injection for pain relief and was referred to continue physical therapy. In conclusion, hemarthrosis is more common in hemophilia than in platelet disorders and has potential morbidity and quality-of-life implications.

Keywords:

• Glanzmann thrombasthenia
• hemarthrosis
• synovitis

Data Sharing Statement

Data and materials are available on request.

Statement of Ethics

Institutional approval obtained from Hamad Medical Corporation Medical Research Center, MRC-04-23-266.

Consent to Publish Statement

Written informed consent was obtained from the patient and his legal gradient (father) for the publication of this case report and any accompanying images.

Acknowledgments

The authors acknowledge the internal medicine residency program for its motivation and support.

Disclosure

The authors declare no conflicts of interest in this work.

Additional information

Funding

This study was not supported by any funding. An open-access fee was provided by the Qatar National Library.