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Spontaneous Hemarthrosis following Prophylactic Enoxaparin Therapy in a Patient with Chronic Kidney Disease and COVID-19: A Case Report

Authors

  • Mark Andrian O. Yano, MD Division of Rheumatology, Department of Medicine, Philippine General Hospital, University of the Philippines Manila https://orcid.org/0009-0003-1492-217X (##common.opensInNewWindow##)
  • Geraldine T. Zamora, MD Division of Rheumatology, Department of Medicine, Philippine General Hospital, University of the Philippines Manila
  • Karen Anne L. Claridad, MD Division of Pulmonary Medicine, Department of Medicine, Philippine General Hospital, University of the Philippines Manila

DOI:

https://doi.org/10.47895/amp.vi0.12712

Keywords:

hemarthrosis CKD COVID-19 enoxaparin case report

Abstract

Knee pain is a common clinical complaint with a broad differential diagnosis. In critically ill patients, acute monoarticular pain and swelling typically raise concern for septic arthritis. However, alternative etiologies such as crystal-induced arthritis, trauma, and hemarthrosis must also be considered. 

This report presents a rare case of spontaneous hemarthrosis in a patient receiving prophylactic enoxaparin. Although uncommon, spontaneous hemarthrosis is a significant complication of anticoagulation therapy, particularly with low molecular weight heparins (LMWH) like enoxaparin.

 

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