Patient information
Our patient is a 42- year-old male who presented with a lifelong bleeding problem. On admission, he was concerned about an extensive bleeding through his nose (right nostril). His condition was diagnosed previously as idiopathic thrombocytopenic purpura (ITP) for which he is on steroids, osteoprotection, tranexamic acid with no improvement. He also takes PPI. He has 2 family members with the same bleeding problem including a brother and a sister. They were already diagnosed with HHT and passed away due to refractory HF, DCM, AF, and massive blood loss. He is not known to be have any allergies and has never received any drug that might interfere with blood homeostasis.