Mostly, epistaxis is idiopathic but other times it can be due to local or systemic causes. Local causes include inflammatory conditions (eg chronic sinusitis), structural anomalies like septal deviation, vascular malformations and trauma (eg nose picking, foreign body, nasal fracture etc). Systemic causes include any coagulopathy, vitamin deficiencies, use of anticoagulants and a few other.
U left one important one that is hypertension. It's is also an important cause of epistaxis.