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A very rare bleeding disorder

BMJ 1998; 317 doi: https://doi.org/10.1136/bmj.317.7170.1437 (Published 21 November 1998) Cite this as: BMJ 1998;317:1437
  1. Sundaram V Ramanan, associate professor of clinical medicine
  1. University of Connecticut, Connecticut, USA.

    As a haematologist, I am often asked to evaluate patients for a possible bleeding disorder. A common story is that the patient has begun to notice bruising for which no antecedent cause can be identified. Many of the patients are young women who often present in early summer when they are more concerned about cosmetic disfigurement than a serious blood disorder. Such a patient came to me a few years ago. A secretary in her mid 20s, she had noticed the appearance of …

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