Department of Ophthalmology, Faculty of Medicine.
Department of Paediatrics, Faculty of Medicine.
J Pediatr Hematol Oncol. 2021 Apr 1;43(3):101-103. doi: 10.1097/MPH.0000000000002077.
Hemolacria is a rare condition that causes a person to produce tears that are partially composed of blood. It can be a presenting feature of certain ocular and systemic conditions. Here, the authors describe an interesting case of a 12-year-old boy with an underlying beta-thalassemia trait, who presented with a 2-day history of bilateral blood-stained tears, and an episode of epistaxis. Ocular examination was normal, and syringing showed no nasolacrimal duct blockage. Systemic examination was unremarkable. Laboratory investigations confirmed type 2 von Willebrand disease. Management of hemolacria remains a clinical challenge given the rare occurrence of the disease. In this case report, the authors discuss the differential diagnosis and management approach to hemolacria.
血泪症是一种罕见的病症，会导致患者的眼泪中部分含有血液。它可能是某些眼部和全身性疾病的主要特征。在此，作者描述了一例有趣的病例，一名 12 岁男孩患有潜在的β-地中海贫血特征，他出现了两天的双侧血泪，并伴有鼻出血。眼部检查正常，冲洗没有发现鼻泪管堵塞。全身检查无异常。实验室检查证实为 2 型血管性血友病。鉴于该病的罕见发生，血泪症的治疗仍然是一个临床挑战。在本病例报告中，作者讨论了血泪症的鉴别诊断和治疗方法。
