Acharya Ratna, Portwood Katherin, Upadhyay Kiran
Department of Pediatrics, University of Florida, Gainesville, FL 32610, United States.
World J Clin Pediatr. 2021 Jan 9;10(1):1-6. doi: 10.5409/wjcp.v10.i1.1.
Epistaxis can be an isolated finding or a manifestation of a systemic disease. Some of the potential etiologies are usage of anticoagulants, bleeding disorders, vascular aneurysms, nasal neoplasm, hypertension and nasal steroids. Hereditary hemorrhagic telangiectasia (HHT) as a cause of recurrent epistaxis is uncommon.
In this report, we describe an 18-year-old adolescent with recurrent epistaxis, mucocutaneous telangiectasia and family history of HHT, consistent with HHT.
Timely diagnosis is needed not only to treat the epistaxis but also to be vigilant for other serious manifestations of this condition.
鼻出血可能是一个孤立的发现,也可能是全身性疾病的一种表现。一些潜在病因包括使用抗凝剂、出血性疾病、血管动脉瘤、鼻腔肿瘤、高血压和鼻用类固醇。遗传性出血性毛细血管扩张症(HHT)作为复发性鼻出血的病因并不常见。
在本报告中,我们描述了一名18岁的青少年,有复发性鼻出血、皮肤黏膜毛细血管扩张症以及HHT家族史,符合HHT的诊断。
不仅需要及时诊断以治疗鼻出血,还需警惕该疾病的其他严重表现。