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ADHD presenting as recurrent epistaxis: a case report.

Yasir H Rather¹, Ajaz A Sheikh, Aalia R Sufi

¹Department of Psychiatry, Government Psychiatric Diseases Hospital, GMC Srinagar, Kashmir, J&K, 190010, India. yasirhrather@yahoo.co.in.

Child and Adolescent Psychiatry and Mental Health

|April 26, 2011

Summary

This summary is machine-generated.

Recalcitrant epistaxis in a child was linked to Attention Deficit/Hyperactivity Disorder (ADHD). Treatment targeting ADHD symptoms successfully resolved the persistent nosebleeds, highlighting a psychiatric link to this common emergency.

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Area of Science:

Otorhinolaryngology
Pediatrics
Psychiatry

Background:

Epistaxis is a common otorhinolaryngological emergency, often with identifiable local causes like trauma in children.
Recalcitrant epistaxis can present diagnostic challenges when the etiology is not apparent.

Purpose of the Study:

To report a case of persistent epistaxis with an unusual underlying psychiatric cause.
To illustrate the successful management of epistaxis by addressing an underlying behavioral disorder.

Main Methods:

A case report detailing a child with recurrent, severe epistaxis.
Diagnostic evaluation to identify the root cause of the epistaxis.
Pharmacological treatment targeting the identified psychiatric condition.

Main Results:

The child was diagnosed with Attention Deficit/Hyperactivity Disorder, hyperactive type.
Frequent, uncontrolled nose picking, a symptom of ADHD, was identified as the cause of nasal mucosa trauma and epistaxis.
Treatment with atomoxetine effectively managed ADHD symptoms and resulted in the remission of epistaxis.

Conclusions:

Psychiatric disorders, such as ADHD, can be an underlying cause of recalcitrant epistaxis in children.
Addressing behavioral symptoms through targeted treatment can lead to the resolution of epistaxis.
This case underscores the importance of considering psychiatric comorbidities in the evaluation of persistent epistaxis.