Intended for healthcare professionals

Endgames Case Review

Recurrent epistaxis in an adolescent

BMJ 2019; 367 doi: (Published 03 October 2019) Cite this as: BMJ 2019;367:l5393
  1. Oliver McLaren, specialist registrar otolaryngology1,
  2. Natalie Ronan, consultant otolaryngology2
  1. 1Royal Cornwall Hospital, Treliske, Truro, UK
  2. 2Torbay and South Devon NHS Foundation Trust, Torquay, UK
  1. Correspondence to O McLaren oliver.mclaren{at}

A 16 year old boy presented to the ear, nose, and throat (ENT) outpatient clinic with recurrent non-traumatic nosebleeds, which had occurred daily over the preceding year. The bleeds were self limiting, lasting 5-10 minutes at a time. The patient had never presented to hospital with the nosebleeds, and noticed no benefit from a 10 day course of antiseptic cream prescribed by his general practitioner. He had no medical history and was unsure of any relevant family …

View Full Text

Log in

Log in through your institution


* For online subscription