Timeline:
His condition has started since his childhood when he presented with
same symptoms for which his labs showed thrombocytopenia (15
thousands/cmm) that the bone marrow sample has confirmed. Therefore, he
was diagnosed as idiopathic thrombocytopenic purpura (ITP) for which
steroids have been started with no improvement and he continued to have
many bleeding episodes. He was admitted last time few months ago with
large amounts of bleeding from his right nostril. A more detailed
history and examination was intriguing for hereditary hemorrhagic
telangiectasia. Based on the presence of epistaxis, telangiectasias and
a first-degree relative with HHT confirmed using the Curacoa criteria.