The diagnosis and treatment of a hemorrhagic disorder may be relatively simple when the patient observed presents a pertinent history with discernible and corroborative physical and laboratory evidence. However, when there is neither history nor laboratory evidence to associate a profuse and persistent postoperative nasal hemorrhage with a blood dyscrasia, then the temerity of the observer to indulge in retrospection may perhaps be understood.
It is my purpose first to present a case report in which this challenging situation arose and then to follow this with a discussion of the clinical course, diagnosis, and treatment.
Report of Case
A 27-year-old male Puerto Rican was first seen in the office, Dec. 19, 1955, with the complaint of blockage of nasal breathing for the past two years. There was a history of headaches, frequent head colds, nasal discharge, constant sneezing, aching and watering of the eyes, and the occasional occurrence of hives.
GIDOLL SH. Postoperative Nasal Hemorrhage: Report of Case with Pseudohemophilia. AMA Arch Otolaryngol. 1958;67(5):530–535. doi:10.1001/archotol.1958.00730010544004
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