Hereditary hemorrhagic telangiectasia presenting as a recurrent epistaxis in an adolescent: A case report

doi:10.5409/wjcp.v10.i1.1

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World Journal of Clinical Pediatrics

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Case Report

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

Kiran Upadhyay, Katherin Portwood, Ratna Acharya

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).

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.

Keywords: Epistaxis; Telangiectasia; Hemorrhagic; Hereditary; Pediatrics; Case report

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.