Epistaxis is an important otorhinolaryngological emergency, which usually has an apparent etiology, frequently local trauma in children. Here we present a case report wherein the epistaxis was recalcitrant, and proved to have a psychiatric disorder as an underlying basis. The child was diagnosed with Attention Deficit/Hyperactivity Disorder, hyperactive type, which led to trauma to nasal mucosa due to frequent and uncontrolled nose picking. Treatment with atomoxetine controlled the patient's symptoms and led to a remission of epistaxis.

中文翻译：

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ADHD表现为反复鼻衄：病例报告。

鼻衄是​​一种重要的耳鼻喉科急症，通常有明显的病因，通常是儿童的局部创伤。在这里，我们提供了一个病例报告，其中鼻衄顽固，并被证明有精神疾病作为潜在的基础。孩子被诊断出患有注意力缺陷/多动障碍，多动型，由于频繁且不受控制的挖鼻孔导致鼻粘膜创伤。托莫西汀治疗控制了患者的症状并导致鼻衄缓解。