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Child Adolesc Psychiatry Ment Health. 2011 Apr 24;5:13. doi: 10.1186/1753-2000-5-13.

ADHD presenting as recurrent epistaxis: a case report.

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Department of Psychiatry, Government Psychiatric Diseases Hospital, GMC Srinagar, Kashmir, J&K, 190010, India.


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 to a remission of epistaxis.

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