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Recurrent Epistaxes in Hereditary Haemorrhagic Telangiectasia

Recurrent nosebleeds are a common occurrence in childhood and adolescence. These are frequently treated by cautery and rarely give rise to further concern. The frequency with which nosebleeds present can lull clinicians into a false sense of security, so that serious underlying pathology may not be considered. Recurrent epistaxis is the first symptom in 90% of cases of hereditary haemorrhagic telangiectasial, which is associated with significant morbidity and mortality. We report a case of arm weakness in a young man with a history of recurrent epistaxes in whom hereditary haemorrhagic telangiectasia was subsequently diagnosed.