ABSTRACT

Haemolacria, also known as bloody tears, is a physical condition in which a person produces tears partially composed of blood. Multiple disorders can cause haemolacria, including trauma, inflammation, vascular lesions, vicarious menstruation, blood disorders, epistaxis, tumours and psychiatric and systemic disorders. Often, no aetiology is identified. It is usually benign, self-limiting, and the treatment depends on the cause. A 14-year-old girl presented to the paediatric emergency department with sudden onset of bloody tears from both eyes and epistaxis for the first time. A detailed history focusing on aetiological factors was unremarkable. Systemic, ocular, nasal and paranasal examination was also unremarkable. Radiological and laboratory investigations were normal, and the patient was diagnosed with idiopathic haemolacria. High-dose oral vitamin C, prophylactic iron therapy and psychological support were provided as conservative treatment. During regular follow-up, there was a spontaneous reduction in the frequency of symptoms.

摘要

泪液，也称为血泪，是一种身体状况，其中人产生部分由血液组成的眼泪。多种疾病可引起流泪，包括创伤、炎症、血管损伤、替代性月经、血液疾病、鼻衄、肿瘤以及精神和全身疾病。通常，没有确定病因。它通常是良性的、自限性的，治疗取决于病因。一名 14 岁女孩因突然出现双眼流血和鼻衄而到儿科急诊科就诊。专注于病因的详细病史并不显着。全身、眼部、鼻部和鼻旁检查也无异常。放射学和实验室检查均正常，患者被诊断为特发性泪液。给予大剂量口服维生素C、预防性铁剂治疗和心理支持作为保守治疗。在定期随访期间，症状的频率自发减少。