Extensive bleeding following extractions in a patient undergoing chronic hemodialysis.
A prolonged epistaxis following routine dental extractions was observed in a 50-year-old woman with a history of chronic hemodialysis. Despite the clinical impression of a significant coagulopathy, extensive hematologic testing failed to reveal any abnormalities. Recent evidence suggests that a prostaglandin (prostacyclin) with platelet antiaggregatory properties may be responsible for episodes of prolonged bleeding reported in patients undergoing hemodialysis.
D004844:Epistaxis / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D006472:Oral Hemorrhage / Q000209:etiology; D006435:Renal Dialysis; D014081:Tooth Extraction / Q000009:adverse effects*