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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Dove Medical Press
2011
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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) |
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Ophthalmology RE1-994 |
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Ophthalmology RE1-994 Karslıoğlu Ş Şimşek İB Akbaba M A case of recurrent bloody tears |
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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 |
work_keys_str_mv |
AT karslıoglus acaseofrecurrentbloodytears AT simsekib acaseofrecurrentbloodytears AT akbabam acaseofrecurrentbloodytears AT karslıoglus caseofrecurrentbloodytears AT simsekib caseofrecurrentbloodytears AT akbabam caseofrecurrentbloodytears |
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