title: Rheumatic mitral stenosis with epistaxis as an initial symptom.
abstract: Epistaxis is a frequent presentation in the emergency department and often causes significant anxiety among patients and their relatives. We report a 30-year-old man with mitral stenosis presenting with epistaxis as the initial symptom. He had no other symptoms related to mitral stenosis prior to this episode. Epistaxis is a very unusual initial presentation of rheumatic mitral stenosis.
authors.affiliation: Department of Medicine, Mahatma Gandhi Institute of Medical Sciences. Sewagram, Wardha 442102, Maharastra, India. drsunilkr_med@rediffmail.com
authors.forename: S
authors.initials: S
authors.lastname: Kumar
authors.forename: A P
authors.initials: AP
authors.lastname: Jain
authors.forename: S
authors.initials: S
authors.lastname: Jain
mesh_terms: D000328:Adult; D004452:Echocardiography / Q000379:methods; D004562:Electrocardiography; D004844:Epistaxis / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008946:Mitral Valve Stenosis / Q000150:complications* / Q000175:diagnosis*; D013902:Radiography, Thoracic / Q000379:methods; D012214:Rheumatic Heart Disease / Q000150:complications / Q000175:diagnosis; D016896:Treatment Outcome