Amiya Ranjan Nayak

Uncontrolled and Recurrent Epistaxis in an Adult: The Globulin Gap Clue

A 49-year-old man presented with recurrent epistaxis, gingival bleeding, vertigo, and severe anemia. Despite normal coagulation parameters, bleeding worsened after red blood cell transfusion and was refractory to standard therapy. A marked globulin gap on routine liver function t...