TY - JOUR T1 - PIcture of the month—quiz case AU - Olitsky SE Y1 - 2011/03/01 N1 - 10.1001/archpediatrics.2011.2-a JO - Archives of Pediatrics & Adolescent Medicine SP - 275 EP - 276 VL - 165 IS - 3 N2 - Her medical history was significant for frequent nosebleeds. These occurred spontaneously several times a week and sometimes lasted 20 to 30 minutes. She had no other history of bleeding problems. Her family history was remarkable for a history of recurrent nosebleeds in her father's family, a paternal grandfather who died secondary to a cerebrovascular accident of unknown cause, and a paternal great great grandfather who died of complications of gastrointestinal bleeding. Examination of the patient’s father showed similar lesions on his hands (Figure 3) and in his nose (Figure 4). SN - 1072-4710 M3 - doi: 10.1001/archpediatrics.2011.2-a UR - http://dx.doi.org/10.1001/archpediatrics.2011.2-a ER -