[Causes analysis of misdiagnosis in patients with familial nasal bleeding].
OBJECTIVE
To analyze the causes of misdiagnosis in patients with familial nasal bleeding and to improve the level of diagnosis and treatment.


METHODS
The clinical characteristics of 7 families with nose blood were analyzed retrospectively and 2 typical cases were reported, including their treatment and misdiagnosis in consulting, out-patient and in-patient.


RESULTS
Typical case 1 was misdiagnosed and mistreated for 42 years, misdiagnosed as blood disease so that the patient was biopsied in bone marrow, misdiagnosed as endometriosis so that the patient was performed uterus resection. Typical case 2 was misdiagnosed and mistreated for 17 years, misdiagnosed as upper digestive tract hemorrhage so that the patient was performed endoscopic sleeve ligation, misdiagnosed as inferior turbinate hemangioma so that the patient was performed nasal endoscopic surgery.


CONCLUSIONS
Neglect of family history and the typical signs are the causes of misdiagnosis. So asking about the family history and checking for the typical signs in patients with nose blood can avoid misdiagnosis.
Cong
C
Xu
Lingchao
L
Ji
Jingjie
J
Jia
Xin
X
Qiu
Zhaolei
Z
Luan
Yin
Y
Bai
Jing
J
Zhang
Hongtian
H
Wang
D003951:Diagnostic Errors; D004724:Endoscopy; D004844:Epistaxis / Q000175:diagnosis*; D005260:Female; D006801:Humans; D059747:Nasal Surgical Procedures; D012189:Retrospective Studies; D014420:Turbinates