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Review
. 2021 Apr 1;43(3):101-103.
doi: 10.1097/MPH.0000000000002077.

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

Gunavathy Nandakumal  1 , Fazliana Ismail  1 , Nor Fadhilah Mohamad  1 , Pooi Wah Lott  1 , Kee Seang Chew  2 , Syaza Ab Rahman  3 , Sujaya Singh  1
Affiliations
Review

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

Gunavathy Nandakumal et al. J Pediatr Hematol Oncol. .

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.

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Conflict of interest statement

The authors declare no conflict of interest.

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