Department of Psychiatry, Institute of Mental Health, Madras Medical College, Chennai, Tamil Nadu, India.
Department of Psychiatry, Institute of Child Health and Hospital for Children, Madras Medical College, Chennai, Tamil Nadu, India.
Indian J Psychiatry. 2015 Jan-Mar;57(1):88-90. doi: 10.4103/0019-5545.148533.
Ms. V, a 10-year-old girl was referred to Child Psychiatry Department with complaints of bleeding from eyes for last 3 months. Bleeding was spontaneous, recurrent, painless, and self-limited. History revealed significant Psychological stressors, Temperamental Difficulties and Conflicts with Mother. Mental status examination revealed Depression in Ms. V. During hospital stay, Ms. V developed repeated bleeding episodes. The presence of hemoglobin is confirmed in the bleeding sample. Hematologic investigations and computed tomography brain were normal. Ms. V was started on Sertraline, Propranolol, and Clonazepam. Both Ms. V and her Mother were psycho-educated about the nature of the illness. Ms. V was discharged and under follow-up. This case is reported for the rarity of presentation (bleeding from Eyes) of a childhood Depression.
V 女士，一位 10 岁女孩，因 3 个月来眼部反复自发性无痛性出血就诊于儿童精神科。出血可自行停止。病史提示明显的心理应激源、气质困难和与母亲的冲突。精神状态检查发现 V 女士患有抑郁症。住院期间，V 女士反复出现出血发作。出血样本中证实存在血红蛋白。血液学检查和脑部计算机断层扫描正常。V 女士开始服用舍曲林、普萘洛尔和氯硝西泮。对 V 女士及其母亲进行了有关疾病性质的心理教育。V 女士出院并接受随访。本病例报告为儿童抑郁症罕见的眼部出血表现。
