Epistaxis is common in children and most frequently results from trauma to the vascular area of the anterior septum called Kisselbach’s plexus. It is often triggered by dryness which can lead to itching which can cause trauma or irritation in this area. Another common cause is related to allergic rhinitis, which causes irritation and increased blood flow to the area.

Other causes for epistaxis include coagulopathy or foreign body. Very rarely, tumors and vascular lesions such as juvenile nasopharyngeal angiofibroma will present as severe epistaxis. Epistaxis is rare in children < 2 years, and should raise suspicions of trauma or systemic illness.

 

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These guidelines are intended solely for the use of healthcare professionals who are licensed to practice medicine. This material is not intended to replace professional medical judgment, prescribing information or consultation with a medical professional. Any health care provider using this material acknowledges full responsibility for the medical care and treatment of patients. All health care providers are solely responsible for confirming the accuracy, timeliness, completeness, appropriateness and helpfulness of this material and making all medical, diagnostic or prescription decisions.

For questions about the guidelines, CLASP [at] Connecticutchildrens.org (email the CLASP team).