Epistaxis is a common problem in pediatric patients. Most cases are benign in nature and resolve with minimal intervention. However, there are many unusual conditions that present with epistaxis that can be very serious and should be promptly investigated and treated.
Our recent issue Acute Epistaxis: A Comprehensive Overview in the Acute Care Setting aids in the distinction between the benign causes of epistaxis and those that are more serious and require further evaluation.
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Here are a few key points:
- Epistaxis is a very common pediatric condition; however, it is rare in children aged <2 years.
- The majority of pediatric nosebleeds originate from Kiesselbach plexus (Little’s area), which is in the anterior aspect of the nose. (See Figure 1 in the issue.)
- Epistaxis may present in a delayed fashion after maxillofacial trauma, and should raise suspicion for an arterial aneurysm.
- Recurrent epistaxis from the same nostril in young adult males may be due to juvenile nasopharyngeal angiofibroma. (See Figure 2 in the issue.)
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