Which conditions should be considered in the diagnosis of epistaxis (nosebleed)?

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

Recurrent epistaxis in children could be caused by a foreign body, especially if the nosebleeds are accompanied by symptoms of unilateral nasal congestion and purulent rhinorrhea. Delayed epistaxis in a trauma patient may signal the presence of a traumatic aneurysm.

Other conditions to be considered include the following:

  • Chemical irritants

  • Hepatic failure

  • Leukemia

  • Thrombocytopenia

  • Heparin toxicity

  • Ticlopidine toxicity

  • Dipyridamole toxicity

  • Trauma

  • Tumor


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