Acharya R, Portwood K, Upadhyay K. Hereditary hemorrhagic telangiectasia presenting as a recurrent epistaxis in an adolescent: A case report. World J Clin Pediatr 2021; 10(1): 1-6 [PMID: 33511041 DOI: 10.5409/wjcp.v10.i1.1]
Corresponding Author of This Article
Kiran Upadhyay, MD, Associate Professor, Department of Pediatrics, University of Florida, 1600 SW Archer Road, Gainesville, FL 32610, United States. dockiranbp@yahoo.com
Research Domain of This Article
Pediatrics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Pediatr. Jan 9, 2021; 10(1): 1-6 Published online Jan 9, 2021. doi: 10.5409/wjcp.v10.i1.1
Hereditary hemorrhagic telangiectasia presenting as a recurrent epistaxis in an adolescent: A case report
Ratna Acharya, Katherin Portwood, Kiran Upadhyay
Ratna Acharya, Katherin Portwood, Kiran Upadhyay, Department of Pediatrics, University of Florida, Gainesville, FL 32610, United States
Author contributions: Acharya R, Portwood K and Upadhyay K contributed to writing of the manuscript; Upadhyay K critically revised the manuscript.
Informed consent statement: The patient provided the informed consent for this study.
Conflict-of-interest statement: The authors disclose no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Kiran Upadhyay, MD, Associate Professor, Department of Pediatrics, University of Florida, 1600 SW Archer Road, Gainesville, FL 32610, United States. dockiranbp@yahoo.com
Received: October 13, 2020 Peer-review started: October 13, 2020 First decision: December 11, 2020 Revised: December 15, 2020 Accepted: December 24, 2020 Article in press: December 24, 2020 Published online: January 9, 2021 Processing time: 89 Days and 4.3 Hours
Abstract
BACKGROUND
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.
CASE SUMMARY
In this report, we describe an 18-year-old adolescent with recurrent epistaxis, mucocutaneous telangiectasia and family history of HHT, consistent with HHT.
CONCLUSION
Timely diagnosis is needed not only to treat the epistaxis but also to be vigilant for other serious manifestations of this condition.
Core Tip: In patients with recurrent spontaneous epistaxis, a thorough history, family history, physical examination and investigation is necessary to exclude hereditary hemorrhagic telangiectasia which can present with multi-system involvement along with epistaxis.
