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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| Format: | Article |
| Language: | English |
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Dove Medical Press
2011-07-01
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| Series: | Clinical Ophthalmology |
| Online Access: | http://www.dovepress.com/a-case-of-recurrent-bloody-tears-a7984 |
| _version_ | 1818743775893127168 |
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| author | Karslıoğlu Ş Şimşek İB Akbaba M |
| author_facet | Karslıoğlu Ş Şimşek İB Akbaba M |
| author_sort | Karslıoğlu Ş |
| collection | DOAJ |
| 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 |
| first_indexed | 2024-12-18T02:33:47Z |
| format | Article |
| id | doaj.art-0f8bb202350347cc815656147e11edcc |
| institution | Directory Open Access Journal |
| issn | 1177-5467 1177-5483 |
| language | English |
| last_indexed | 2024-12-18T02:33:47Z |
| publishDate | 2011-07-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj.art-0f8bb202350347cc815656147e11edcc2022-12-21T21:23:50ZengDove Medical PressClinical Ophthalmology1177-54671177-54832011-07-012011default10671069A case of recurrent bloody tearsKarslıoğlu ŞŞimşek İBAkbaba MŞafak 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 Chttp://www.dovepress.com/a-case-of-recurrent-bloody-tears-a7984 |
| spellingShingle | Karslıoğlu Ş Şimşek İB Akbaba M A case of recurrent bloody tears Clinical Ophthalmology |
| title | 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_short | A case of recurrent bloody tears |
| title_sort | case of recurrent bloody tears |
| url | http://www.dovepress.com/a-case-of-recurrent-bloody-tears-a7984 |
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