Case 1-2007: A 40-year-old woman with epistaxis, hematemesis, and altered mental status

Michael Laposata, Elizabeth M. Van Cott, Michael H. Lev

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A 40-year-old woman was admitted to this hospital with epistaxis, hematemesis, and altered mental status. The patient had had heavy menstrual bleeding for 6 months, but bleeding developed at other sites 2 weeks before admission. She had no personal or family history of a bleeding disorder. On admission to this hospital, she had evidence of both bleeding and thrombosis; the laboratory evaluation showed markedly abnormal coagulation studies and a low-normal platelet count. On the 10th hospital day, the results of a diagnostic test were reported.

Original languageEnglish (US)
JournalNew England Journal of Medicine
Issue number2
StatePublished - Jan 11 2007
Externally publishedYes


ASJC Scopus subject areas

  • Medicine(all)

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