A rare case of von willebrand disease presenting as hemolacria and literature review

Nandakumal, Gunavathy and Ismail, Fazliana and Mohamad, Nor Fadhilah and Lott, Pooi Wah and Chew, Kee Seang and Ab Rahman, Syaza and Singh, Sujaya (2021) A rare case of von willebrand disease presenting as hemolacria and literature review. Journal of Pediatric Hematology/Oncology, 43 (3). pp. 101-103. ISSN 1077-4114, DOI https://doi.org/10.1097/MPH.0000000000002077.

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Abstract

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.

Item Type: Article
Funders: UNSPECIFIED
Uncontrolled Keywords: Hemolacria; Blood in tears; Von Willebrand disease
Subjects: R Medicine > R Medicine (General)
R Medicine > RE Ophthalmology > Ophthalmology
Divisions: Faculty of Medicine > Department of Ophthalmology
Depositing User: Ms Zaharah Ramly
Date Deposited: 16 Aug 2022 06:57
Last Modified: 16 Aug 2022 06:57
URI: http://eprints.um.edu.my/id/eprint/28612

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