Epistaxis due to Wegener's granulomatosis in a pediatric patient.
Epistaxis is a common problem in children that typically is not severe and seldom requires hospitalization. The nose is a highly vascular structure with a large surface area; subsequently, it is highly predisposed to bleeding. Childhood vasculitides are very rare and are commonly diagnosed by characteristic lesions on imaging studies along with syndrome recognition by clinicians. We present a case of recurrent epistaxis that persisted over 3 months due to Wegener's granulomatosis in an adolescent that was misdiagnosed as a benign hemorrhage from Kiesselbach's plexus.
Hayes
Don
D
Department of Pediatrics, University of Kentucky College of Medicine, J410 Kentucky Clinic, Lexington, KY 40536, USA. don.hayes@uky.edu
Iocono
Joseph A
JA
Bennett
Jeffery S
JS
Lachman
David Corey
DC
Ballard
Hubert O
HO
D000293:Adolescent; D019268:Antibodies, Antineutrophil Cytoplasmic / Q000097:blood; D003951:Diagnostic Errors; D004844:Epistaxis / Q000209:etiology*; D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000175:diagnosis*; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D053146:Myeloblastin / Q000276:immunology; D011859:Radiography; D012008:Recurrence
D019268:Antibodies, Antineutrophil Cytoplasmic; D053146:Myeloblastin