2011
DOI: 10.1186/1753-2000-5-13
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ADHD presenting as recurrent epistaxis: a case report

Abstract: Epistaxis is an important otorhinolaryngological emergency, which usually has an apparent etiology, frequently local trauma in children. Here we present a case report wherein the epistaxis was recalcitrant, and proved to have a psychiatric disorder as an underlying basis. The child was diagnosed with Attention Deficit/Hyperactivity Disorder, hyperactive type, which led to trauma to nasal mucosa due to frequent and uncontrolled nose picking. Treatment with atomoxetine controlled the patient's symptoms and led t… Show more

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Cited by 6 publications
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“…The other differential diagnosis in our patient would be rhinotillexomania which is a benign habit in children, but because of other associated features of hyperactivity and inattentiveness that was ruled out [11]. In addition, other causes like rhinitis, systemic disease, or remotely cocaine abuse were all sequentially excluded.…”
Section: Discussionmentioning
confidence: 99%
“…The other differential diagnosis in our patient would be rhinotillexomania which is a benign habit in children, but because of other associated features of hyperactivity and inattentiveness that was ruled out [11]. In addition, other causes like rhinitis, systemic disease, or remotely cocaine abuse were all sequentially excluded.…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, both of these factors, the compulsion and the relief, have a strong resonance with an obsessive-compulsive pathology indicative of anxiety-based disorders such as BFRB [ 4 ]. Multiple cases have also shown an association between rhinotillexomania and generalized anxiety disorder (GAD), obsessive-compulsive disorder (OCD), or attention-deficit hyperactivity disorder (ADHD) [ 5 - 7 ]. Similarly, the medical consequences of rhinotillexomania include intranasal tissue erosion, recurrent epistaxis, and URIs [ 5 - 7 ].…”
Section: Discussionmentioning
confidence: 99%
“…Multiple cases have also shown an association between rhinotillexomania and generalized anxiety disorder (GAD), obsessive-compulsive disorder (OCD), or attention-deficit hyperactivity disorder (ADHD) [ 5 - 7 ]. Similarly, the medical consequences of rhinotillexomania include intranasal tissue erosion, recurrent epistaxis, and URIs [ 5 - 7 ].…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, this study obviously demonstrated that the prevalence of ADHD was significantly higher in children aged 6-11 years with RE. In a case report, Rather et al 21 emphasized the potential relationship between ADHD and RE. Similarly, a significant correlation between diagnosis of ADHD and foreign body insertion into nose or ear has been reported [22][23][24] .…”
Section: Discussionmentioning
confidence: 99%