A case of recurrent bloody tears

Şafak Karslioğlu1, Ilke Bahçeci Şimşek2, Müslime Akbaba11Ìstanbul Oculoplastic and Orbital Surgery and Ocular Oncology Center, 2Ophthalmology Department, Medicine Hospital, Ìstanbul, TurkeyAbstract: Well-known causes of blood-tinged epiphora...

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Autores principales: Karslıoğlu Ş, Şimşek İB, Akbaba M
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Lenguaje:EN
Publicado: Dove Medical Press 2011
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spelling oai:doaj.org-article:0f8bb202350347cc815656147e11edcc2021-12-02T06:30:38ZA case of recurrent bloody tears1177-54671177-5483https://doaj.org/article/0f8bb202350347cc815656147e11edcc2011-07-01T00:00:00Zhttp://www.dovepress.com/a-case-of-recurrent-bloody-tears-a7984https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Şafak Karslioğlu1, Ilke Bahçeci Şimşek2, Müslime Akbaba11Ìstanbul Oculoplastic and Orbital Surgery and Ocular Oncology Center, 2Ophthalmology Department, Medicine Hospital, Ìstanbul, TurkeyAbstract: Well-known causes of blood-tinged epiphora are conjunctival lesions, tumors of the lacrimal apparatus, and systemic bleeding disorders. We describe an unusual patient who presented with recurrent episodes of bloody tearing which began following an erythema multiforme-like drug eruption. He experienced chronic conjunctivitis which resulted in a few minor symblephara. One year later, the patient developed attacks of bloody tearing. All clinical, radiologic, and laboratory investigations related to bloody epiphora were within normal limits except for a mild, nonspecific chronic inflammatory reaction in the perivascular tissues of the lacrimal gland and orbital soft tissues. Also, an increase in vascular permeability and contrast extravasation on carotid angiography was detected. High-dose vitamin C was administered. The patient continued to have unilateral bloody tears intermittently for two years, but the episodes became much less frequent and had resolved by three years. It is conceivable that increased vascular permeability following the systemic inflammatory process could have played a role in the etiology of recurrent bloody tears in this atypical patient.Keywords: bloody tears, erythema multiforme, drug eruption, vitamin CKarslıoğlu ŞŞimşek İBAkbaba MDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 1067-1069 (2011)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Karslıoğlu Ş
Şimşek İB
Akbaba M
A case of recurrent bloody tears
description Şafak Karslioğlu1, Ilke Bahçeci Şimşek2, Müslime Akbaba11Ìstanbul Oculoplastic and Orbital Surgery and Ocular Oncology Center, 2Ophthalmology Department, Medicine Hospital, Ìstanbul, TurkeyAbstract: Well-known causes of blood-tinged epiphora are conjunctival lesions, tumors of the lacrimal apparatus, and systemic bleeding disorders. We describe an unusual patient who presented with recurrent episodes of bloody tearing which began following an erythema multiforme-like drug eruption. He experienced chronic conjunctivitis which resulted in a few minor symblephara. One year later, the patient developed attacks of bloody tearing. All clinical, radiologic, and laboratory investigations related to bloody epiphora were within normal limits except for a mild, nonspecific chronic inflammatory reaction in the perivascular tissues of the lacrimal gland and orbital soft tissues. Also, an increase in vascular permeability and contrast extravasation on carotid angiography was detected. High-dose vitamin C was administered. The patient continued to have unilateral bloody tears intermittently for two years, but the episodes became much less frequent and had resolved by three years. It is conceivable that increased vascular permeability following the systemic inflammatory process could have played a role in the etiology of recurrent bloody tears in this atypical patient.Keywords: bloody tears, erythema multiforme, drug eruption, vitamin C
format article
author Karslıoğlu Ş
Şimşek İB
Akbaba M
author_facet Karslıoğlu Ş
Şimşek İB
Akbaba M
author_sort Karslıoğlu Ş
title A case of recurrent bloody tears
title_short A case of recurrent bloody tears
title_full A case of recurrent bloody tears
title_fullStr A case of recurrent bloody tears
title_full_unstemmed A case of recurrent bloody tears
title_sort case of recurrent bloody tears
publisher Dove Medical Press
publishDate 2011
url https://doaj.org/article/0f8bb202350347cc815656147e11edcc
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