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A case report from Kolkata, India, highlights the possibility of treating a high titre inhibitor with rituximab, and the identification of a pseudotumor as the cause of epistaxis.
Figure 1
A. Swelling at the root of nose and forehead after trauma due to fall; B. Nasal swelling persisted and gradually started increasing in size; C. CT scan showing a lobulated expansile soft tissue mass in the bilateral anterior nasal space; D. The soft tissue mass was excised –grossly there were only old clots inside; E. Day seven post-operatively, the child did not have any further bleeding episodes; F. The child has been under regular follow-up for the last three years and is on continued prophylaxis.
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