Crying out blood: haemolacria in a young girl

Das, Deepsekhar; Chiranthan, Madhu; Meel, Rachna; Neupane, Swechya

doi:10.1136/bcr-2020-236579

Cited by 5 publications

(5 citation statements)

References 3 publications

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“…A similar case was reported in India, of a 13-year-old girl presented with bilateral bloody tears associated with bleeding from the ear for the past six months. ( 3 ) Also, another similar case was reported in New Delhi, India, of an 11-year-old girl with bilateral bloody tears associated with epistaxis [ 4 ]. While in the United States (US), there was a case series that reported four pediatric cases belonging to different age groups that presented with unilateral bloody tears.…”

Section: Discussionmentioning

confidence: 91%

“…Consider referring the patient to an ophthalmologist for slit-lamp exam, intraocular pressure measure, and lacrimal gland examination. On a global scale, very few case reports provide insights on hemolacria in the pediatric age group (≤14 years) [ 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 ]. There are merely nine pediatric case reports and case series (≤14 years) identified as idiopathic hemolacria that have been investigated thoroughly [ 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…On a global scale, very few case reports provide insights on hemolacria in the pediatric age group (14 years) [ 3,4,5,6,7,8,9,10,11]. There are merely nine pediatric case reports and case series (14 years) identified as idiopathic hemolacria that have been investigated thoroughly [3,4,5,6,7,8,9,10,11]. All age groups, from infancy to the elderly, can be affected by hemolacria.…”

Section: Discussionmentioning

confidence: 99%

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A healthy young girl crying out blood: A case report

AlGoraini

Şeyhibrahim

Jawish

2021

Heliyon

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Background Hemolacria is a rare condition that is characterized by the presence of blood in tears. It is a rare condition due to which insufficient literature and resources are present. Therefore, its prevalence and predilection for a specific gender, race or age remain uncertain. Hemolacria is one of the most alarming symptoms in ophthalmology, associated with multiple underlying etiologies and diseases. Case report We report an unusual case of a 12-year-old female patient who experienced episodic bilateral bloody tears for 3 days, which was associated with epistaxis. The patient's condition was thoroughly evaluated, and all investigations were unremarkable. The patient was then referred to an ophthalmologist for evaluation, and a slit-lamp examination was also unremarkable. After performing all necessary investigations and taking various causes of hemolacria into account, the child was diagnosed as having idiopathic hemolacria. The patient and parent were appropriately counseled regarding the disease, and thereafter, the patient is being followed-up by an ophthalmologist. The reports of the follow-up performed after a month from presentation stated that the patient was progressing favorably, and the bloody tears were resolved spontaneously.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A healthy young girl crying out blood: A case report

AlGoraini

Şeyhibrahim

Jawish

2021

Heliyon

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“…Evidence suggest that most idiopathic cases are benign and resolve spontaneously without any recurrence. 1–5…”

Section: Discussionmentioning

confidence: 99%

“…After performing an extensive search of the literature, we were able to find 23 cases of idiopathic bilateral hemolacria. 3–6,11,12 The median age of onset is 12 years. The duration of symptoms were in the range of one day to five years and was accompanied by epistaxis most commonly; other associated symptoms were giddiness, headache, yellowish discharge from the eyes, fever, twitching of the extremities, haematohidrosis and menorrhagia.…”

Section: Discussionmentioning

confidence: 99%

Tears of blood – a female adolescent with essential idiopathic bilateral haemolacria: case report and brief review

et al. 2020

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Haemolacria is a rare condition that usually occurs secondary to a hidden pathology. On rare occasions when no underlying cause may be found, it is called essential idiopathic haemolacria. Here the authors report a case of a 13-year-old girl presented to the ophthalmology emergency department with spontaneous bloody tears from both eyes for the past six months. There was associated bleeding from the ear. The rest of the systemic and ophthalmology examinations were within normal limits. She was investigated systemically to look for any underlying pathology; however, her blood investigations, radiological imaging and local examinations performed by the Otorhinolaryngology, Ophthalmology, Gynaecology and Internal Medicine departments were all normal. A final diagnosis of bilateral essential haemolacria was made.

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Hematohidrosis, Hemolacria, and “Trichorrhage”: A Systematic Review

Carrión-Álvarez

Castro

Salas-Garza

et al. 2022

Skin Appendage Disord

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Introduction: Hematohidrosis and hemolacria are 2 conditions surrounded in religiousness, mysticism, and supernatural superstitions. While the mechanism is still unclear, these cases have amazed physicians for centuries. Methods: We performed a systematic review in PubMed from 2000 to mid-2021 accounting for 75 studies from which we included 60 cases in 53 articles which were described. Results: The median age of apparition was 24 years with the youngest case being 12 and the oldest 81. Some of the diseases were secondary to other causes such as hemangiomas and other neoplasias or epistaxis episodes. Most of the cases have been reported in India and the USA; most of them correspond to hemolacria alone (51.6%). Discussion: We have stated the basics of the substances involved in the coagulation process that have been described as genetically altered in some patients such as mucins, metalloproteinases, and fibrinogen, as well as propose a mechanism that can explain the signs of this particular entity and approach to its treatment as well as provide the first trichoscopy image of a patient with hemolacria.

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Crying out blood: haemolacria in a young girl

Cited by 5 publications

References 3 publications

A healthy young girl crying out blood: A case report

A healthy young girl crying out blood: A case report

Tears of blood – a female adolescent with essential idiopathic bilateral haemolacria: case report and brief review

Hematohidrosis, Hemolacria, and “Trichorrhage”: A Systematic Review

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