Epistaxis as first manifestation of acute adult idiopathic thrombocytopenic purpura. Clinical case

António Gómez-Torres, Alicia Menoyo Bueno, Ana Isabel Lorente Lavirgen, António Abrante Jiménez & Francisco Esteban Ortega
Idiopathic thrombocytopenic purpura (ITP) is a common hematologic disorder characterized by immune-mediated platelet destruction; it is usually a benign, self-limiting disease in children. The disorder typically presents with purpura and petechiae after viral processes of the upper airway. We report a case of a young man who came to the Emergency department with a very severe epistaxis. After nasal package of the nose, a full blood count showed no platelets. Case series of epistaxis always...
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