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Case report: use of topical tranexamic acid to stop localised bleeding
  1. Sarah Noble,
  2. Jaydeep Chitnis
  1. Department of Emergency Medicine, Hampshire Hospitals Foundation Trust, Basingstoke, UK
  1. Correspondence to Dr Sarah Noble, Basingstoke Emergency Department, Hampshire Hospitals Foundation Trust, Aldermaston Road, Basingstoke RG24 9NA, UK; mrs.noble{at}


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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