Which conditions are associated with severe epistaxis (nosebleed) in children?

Updated: May 08, 2020
  • Author: Quoc A Nguyen, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Children with severe epistaxis are more likely to have required nasal cauterization, an underlying coagulopathy, a positive family history of bleeding, and anemia. Although unusual, children with bleeding disorders (eg, von Willebrand disease) can occasionally have normal coagulation profiles. More than 1 sample may be required to notice the abnormality due to biologic variability throughout the day.


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