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Published on: November 21, 2013
Haemostatic disorders in habitual nose-bleeders
M Beran1, L Stigendal, B Petruson
1Department of Otolaryngology, University of Göteborg, Sweden.
The Journal of Laryngology and Otology
|October 1, 1987
Summary
Habitual nosebleeds may indicate underlying mild bleeding disorders (MBD). This study found a higher incidence of these haemostatic disorders in frequent nose-bleeders, suggesting routine screening can detect important conditions.
Area of Science:
- Hematology
- Otolaryngology
- Genetics
Background:
- Habitual nosebleeds (epistaxis) are common but can signify underlying hemostatic issues.
- Mild bleeding disorders (MBD) are often undiagnosed and may present with recurrent epistaxis.
Purpose of the Study:
- To investigate the prevalence of hemostatic disorders in habitual nose-bleeders.
- To determine if abnormal nasal vessels correlate with hemostatic disorders in this population.
Main Methods:
- Screening of 91 habitual nose-bleeders for hemostatic disorders.
- Extended investigation for abnormal screening results.
- Assessment of nasal mucosa for abnormal vessels.
Main Results:
- 27% of habitual nose-bleeders had diagnosed hemostatic disorders, primarily affecting primary hemostasis.
- Abnormal nasal vessels were present in 85% of participants, irrespective of hemostatic status.
- An increased incidence of MBD was observed in habitual nose-bleeders compared to the general population.
Conclusions:
- Habitual nosebleeds warrant investigation for underlying hemostatic disorders.
- Screening can identify previously unrecognized mild bleeding disorders.
- Abnormal nasal vessels are common in epistaxis but not solely indicative of hemostatic dysfunction.
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