Abstract
A pale 13-year-old girl presented to a local Emergency Department with excessive vaginal bleeding and fainting. Menarche occurred 1 month before presentation. Her second period started 17 days preceding hospital arrival. She was nonobese with a hemoglobin of 5.9 g/dL but with normal platelets, white count, coagulation studies, Factor VIII antigen, Ristocetin cofactor assay, thyroid-stimulating hormone, prolactin, and a negative pregnancy test. She received a total of 12 units of packed red blood cells, 25 mg Premarin intravenously ×1, and 100 mg progesterone intramuscularly ×1.
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