1. The patient had an episode of bleeding in July 2009, initially mild and occasional. As of April 2011 it has increased its frequency dramatically and has peaked in the last 10 days, with greater blood loss but has not required blood transfusions yet.
1. Inicia sangrado en julio de 2009, inicialmente escaso y ocasional; desde abril de 2011 se torna muy frecuente, con exacerbación en los últimos 10 días y con mayor pérdida sanguínea, pero sin requerimiento transfusional hasta el momento.