Spontaneous tonsillar haemorrhage due to von Willebrand's disease

We report a case of spontaneous tonsillar haemorrhage due to underlying von Willebrand's disease, without symptoms or signs of infection. Case report and literature review of reported causes of spontaneous tonsillar haemorrhage. Spontaneous tonsillar haemorrhage is uncommon. Acute bacterial ton...

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Bibliographic Details
Published in:Journal of laryngology and otology 2010-04, Vol.124 (4), p.450-452
Main Authors: Lee, D L Y, Soo, G, van Hasselt, C A
Format: Article
Language:English
Subjects:
Biological and medical sciences
Child
Factor VIII - analysis
Hematologic and hematopoietic diseases
Hemorrhage
Hemorrhage - etiology
Humans
Male
Medical sciences
Otorhinolaryngology. Stomatology
Palatine Tonsil - surgery
Pharyngeal Diseases - etiology
Platelet diseases and coagulopathies
Tonsil
Treatment Outcome
von Willebrand Diseases - complications
von Willebrand Diseases - diagnosis
Von Willebrand's Disease
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Summary:We report a case of spontaneous tonsillar haemorrhage due to underlying von Willebrand's disease, without symptoms or signs of infection. Case report and literature review of reported causes of spontaneous tonsillar haemorrhage. Spontaneous tonsillar haemorrhage is uncommon. Acute bacterial tonsillitis, peri-tonsillar abscess, infectious mononucleosis and idiopathic causes have been reported. Two cases of tonsillitis with underlying bleeding disorders have been reported. We present the first reported case of spontaneous tonsillar haemorrhage secondary to von Willebrand's disease, without evidence of tonsillitis. Spontaneous tonsillar haemorrhage is usually related to infection of the tonsils or peri-tonsillar space. An underlying bleeding disorder should be suspected if no evidence of infection is found.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215109991848