title: Hemorrhagic shock resulting from post-coital vaginal bleeding in an adolescent with Ehlers-Danlos type IV.
abstract: Multiple cases of obstetric-related vaginal bleeding exist in the medical literature pertaining to affected people with Ehlers-Danlos syndrome. We present a novel case of a 16-year-old female with vascular Ehlers-Danlos syndrome (formerly Ehlers-Danlos type IV) who was brought to the emergency department with brisk vaginal bleeding after her first episode of sexual intercourse.
authors.affiliation: Pediatric Emergency Medicine, Nemours/Alfred I duPont Hospital for Children, Wilmimgton, USA. jhowie3@aol.com
authors.forename: John M
authors.initials: JM
authors.lastname: Howard
authors.forename: Maria Carmen G
authors.initials: MC
authors.lastname: Diaz
authors.forename: Maria E
authors.initials: ME
authors.lastname: Soler
mesh_terms: D000293:Adolescent; D003075:Coitus; D004535:Ehlers-Danlos Syndrome / Q000150:complications* / Q000473:pathology; D004630:Emergencies; D005260:Female; D005440:Fluid Therapy; D006474:Hemorrhagic Disorders / Q000209:etiology*; D006801:Humans; D022125:Lacerations / Q000150:complications*; D010353:Patient Education as Topic; D010641:Phenotype; D012771:Shock, Hemorrhagic / Q000209:etiology*; D014621:Vagina / Q000293:injuries* / Q000473:pathology