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24-Year-Old Woman With Menorrhagia, Mucosal Bleeding, and Easy Bruising
Mayo Clinic Proceedings
Vol. 97Issue 7p1375–1379Published in issue: July, 2022
- Merna M. Abdou
- Kevin P. Forey II
- Leslie Padrnos
Cited in Scopus: 0
A 24-year-old woman with a complex medical history including Ehlers-Danlos syndrome with hypermobility subtype, mast cell activation syndrome, eosinophilic esophagitis, and postural orthostatic tachycardia syndrome (POTS) presented to the emergency department (ED) for evaluation of menorrhagia, muscle cramps, and fatigue of 3 weeks’ duration. Her home medications included albuterol (90 μg/inhaler to be used every 6 hours as needed), cyanocobalamin (1000 μg daily), diphenhydramine (50 mg twice a day), epinephrine (0.3 mg/0.3 mL by auto-injector as needed), fexofenadine (180 mg twice a day), ketotifen (2 mg twice a day), and montelukast (10 mg daily at bedtime).