Epistaxis: management and prevention

Vascular thrombohemorrhagic disorders: hereditary and acquired

This review has summarized the more important diseases that may be accompanied by or lead to a disorder of hemostasis or thrombosis via alterations of the vasculature. It is to be stressed that the vascular component of hemostasis is often overlooked by clinicians caring for patients with disorders of hemostasis and thrombosis. It should be appreciated that the vasculature is intricately related to the coagulation protein system and to platelets when involved in thrombohemorrhagic diatheses. Although many vascular disorders may lead to hemorrhage or thrombosis, it must be appreciated that often it is impossible to discern between a primary vascular defect/damage and a defect that has been induced by platelet activation/dysfunction or procoagulant abnormalities.

Control of bleeding during dermabrasion

Dermabrasion may be complicated by excessive bleeding during the procedure. Adrenosem salicylate has been used to control capillary oozing in various other surgical procedures. In a double-blind stidy of ten patients undergoing dermabrasion, Adrenosem salicylate was found to reduce capillary oozing during the procedure to a worthwhile degree. No untowards effects were encountered.