Unusual bleeding

Published: 26 July 2019
Author(s): Paul Vincent Quentric, Gaétan Sauvêtre
Issue: July 2019
Section: Internal Medicine Flashcard

A 15-year-old woman presented to the department for recurrent otorrhagia (panel A), bleeding from the nipples, bleeding from the forehead (panel B), bleeding from the navel (panel C) and epistaxis (panel D). She had no previous medical history and no history of bleeding. Clinical examination revealed no skin or vascular lesion, no bruises, and gynecological examination was normal. Multiple imaging remained standard. Laboratory results showed no anomaly, including strictly normal hemostasis, vitamin C and cortisol.