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Epistaxis, von Willebrand's type bleeding diathesis and Wilms' tumour: a case report
The Journal of Laryngology and Otology
|December 1, 1994
Insights
Persistent nosebleeds in an infant were linked to Wilms' tumour and a bleeding disorder. Treating the tumour with chemotherapy successfully managed the bleeding diathesis and epistaxis.
Area of Science:
- Pediatric Oncology
- Hematology
Background:
- Wilms' tumour is a rare kidney cancer primarily affecting young children.
- Von Willebrand's disease is a common inherited bleeding disorder.
Observation:
- A seven-month-old infant presented with persistent epistaxis (nosebleeds).
- The infant was diagnosed with Wilms' tumour and an associated von Willebrand's type bleeding diathesis.
Findings:
- Successful management of epistaxis required addressing the underlying Wilms' tumour.
- Chemotherapy treatment for the Wilms' tumour led to the correction of the bleeding diathesis.
Implications:
- This case highlights the importance of investigating bleeding disorders in children with Wilms' tumour.
- Effective cancer treatment can resolve associated hematological abnormalities, improving patient outcomes.
Abstract:
We report a case of persistent epistaxis in a seven-month-old child with Wilms' tumour who had an associated von Willebrand's type bleeding diathesis. Correction of the bleeding diathesis to control the epistaxis required treatment of the tumour with chemotherapy.