A Rare Case of von Willebrand Disease Presenting as Hemolacria and Literature Review

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 pres...

Full description

Saved in:
Bibliographic Details
Published inJournal of pediatric hematology/oncology Vol. 43; no. 3; p. 101
Main Authors Nandakumal, Gunavathy, Ismail, Fazliana, Mohamad, Nor Fadhilah, Lott, Pooi Wah, Chew, Kee Seang, Ab Rahman, Syaza, Singh, Sujaya
Format Journal Article
LanguageEnglish
Published United States 01.04.2021
Subjects
beta-Thalassemia - blood
beta-Thalassemia - complications
beta-Thalassemia - diagnosis
Child
Epistaxis - blood
Epistaxis - complications
Epistaxis - diagnosis
Humans
Male
Rare Diseases - blood
Rare Diseases - complications
Rare Diseases - diagnosis
Tears - chemistry
von Willebrand Diseases - blood
von Willebrand Diseases - complications
von Willebrand Diseases - diagnosis
Online AccessGet more information

Cover

More Information
Summary: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.
ISSN:1536-3678
DOI:10.1097/MPH.0000000000002077