What is it about?

Nosebleeds are usually bothersome, but seldom serious- unless one is born with blood that doesn’t clot properly. But if a fleshy new growth inside the nose is causing the bleeding, nosebleeds can be deadly - especially if the clotting problem alone is blamed for the nosebleeds and the fleshy new growth is not discovered and removed. This is the true story of the teenage boy who had such a clotting problem and a bleeding new growth inside his nose.

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Why is it important?

People with a blood-clotting problem (Haemophilia) are in danger of bleeding, especially when they have bad nosebleeds. Bad nosebleeds can also be caused by fleshy growths hidden inside the nose of teenage boys - even if they do not have a clotting problem. What if they have both? The doctors must find out and act quickly!

Perspectives

I hope doctors search for and eliminate all possible causes of serious nosebleeds even when there seems to be an obvious cause (such as the clotting problem in this teenager). Had the nasal fleshy growth (juvenile angiofibroma) not been found, this boy would have been lost.

Professor José Florencio F. Lapeña
University of the Philippines Manila

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This page is a summary of: Case Report: Massive epistaxis from juvenile angiofibroma in an adolescent with severe haemophilia A, F1000Research, September 2019, Faculty of 1000, Ltd., DOI: 10.12688/f1000research.20147.1.
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