Epistaxis due to Wegener's granulomatosis in a pediatric patient.

Autor: Hayes D Jr, Iocono JA, Bennett JS, Lachman DC, Ballard HO, Hayes, Don Jr, Iocono, Joseph A, Bennett, Jeffery S, Lachman, David Corey, Ballard, Hubert O
Zdroj: American Journal of Otolaryngology; Sep2010, Vol. 31 Issue 5, p368-371, 4p
Abstrakt: Epistaxis is a common problem in children that typically is not severe and seldom requires hospitalization. The nose is a highly vascular structure with a large surface area; subsequently, it is highly predisposed to bleeding. Childhood vasculitides are very rare and are commonly diagnosed by characteristic lesions on imaging studies along with syndrome recognition by clinicians. We present a case of recurrent epistaxis that persisted over 3 months due to Wegener's granulomatosis in an adolescent that was misdiagnosed as a benign hemorrhage from Kiesselbach's plexus. [ABSTRACT FROM AUTHOR]
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