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Waldenstrom macroglobulinemia presenting as isolated persistent epistaxis: a very rare presentation.
[waldenström macroglobulinemia]
Nose
bleed
is
the
most
common
rhinological
emergency
.
There
are
multiple
risk
factors
for
the
development
of
epistaxis
and
it
can
affect
any
age
group
,
but
it
is
the
elderly
population
with
their
associated
morbidity
who
often
require
more
intensive
treatment
and
subsequent
admission
.
Most
cases
of
epistaxis
occur
in
the
Little
's
area
,
a
location
readily
accessible
and
treatable
by
cautery
or
anterior
nasal
packing
.
However
,
posterior
epistaxis
often
requires
more
aggressive
measures
including
posterior
nasal
packing
and
endoscopic
cauterization
.
After
posterior
nasal
packing
,
the
two
most
common
therapies
for
intractable
epistaxis
are
transantral
ligation
of
the
internal
maxillary
artery
and
percutaneous
embolization
of
the
distal
internal
maxillary
artery
.
However
,
optimal
management
of
intractable
posterior
epistaxis
remains
controversial
.
We
hereby
report
fourth
case
of
Waldenstrom
Macroglobulinemia
in
English
literature
,
which
presented
as
isolated
persistent
epistaxis
and
was
treated
by
therapeutic
plasmapheresis
.
Diseases
Validation
Diseases presenting
"multiple risk factors for the development"
symptom
waldenström macroglobulinemia
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