A case is presented in which topical tranexamic acid was used to stop local bleeding from a nipple following piercing in a young man with haemophilia. This case, with a review of the relevant literature, highlights the use of topical tranexamic acid as part of a methodical approach to stop localised, non-massive bleeding, particularly in patients with inherited or acquired coagulopathies.
- Emergency department management
- emergency departments
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Competing interests None.
Patient consent We have been unable to contact the patient and so the case report is fully anonymised.
Ethics approval Ethics approval was provided by case report rather than study and so no change in management of patient.
Provenance and peer review Not commissioned; externally peer reviewed.
Data sharing statement All available data are published in this report.
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