Hemolacria — Crying Blood

Maria, Alessandra Di; Famà, Fausto

doi:10.1056/nejmicm1805241

Cited by 11 publications

(5 citation statements)

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“…From the retrieved articles, 20 presented only hematohidrosis while 31 presented hemolacria and 9 cases presented both manifestations. In some articles, the presence of the bloody tears was associated with a systemic disease such as underlying hemangiomas or meningiomas [29, 30]. In some of the cases, the clinical manifestations appeared after traumatizing events; however, the magnitude of these events significantly varied between the cases, while some patients have been exposed to life threats [46], witnessed a violent death [5], or outlived a natural disaster [4], other detonates included familiar conflicts [18].…”

Section: Resultsmentioning

confidence: 99%

Hematohidrosis, Hemolacria, and “Trichorrhage”: A Systematic Review

Carrión-Álvarez

Castro

Salas-Garza

et al. 2022

Skin Appendage Disord

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Introduction: Hematohidrosis and hemolacria are 2 conditions surrounded in religiousness, mysticism, and supernatural superstitions. While the mechanism is still unclear, these cases have amazed physicians for centuries. Methods: We performed a systematic review in PubMed from 2000 to mid-2021 accounting for 75 studies from which we included 60 cases in 53 articles which were described. Results: The median age of apparition was 24 years with the youngest case being 12 and the oldest 81. Some of the diseases were secondary to other causes such as hemangiomas and other neoplasias or epistaxis episodes. Most of the cases have been reported in India and the USA; most of them correspond to hemolacria alone (51.6%). Discussion: We have stated the basics of the substances involved in the coagulation process that have been described as genetically altered in some patients such as mucins, metalloproteinases, and fibrinogen, as well as propose a mechanism that can explain the signs of this particular entity and approach to its treatment as well as provide the first trichoscopy image of a patient with hemolacria.

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Section: Resultsmentioning

confidence: 99%

Hematohidrosis, Hemolacria, and “Trichorrhage”: A Systematic Review

Carrión-Álvarez

Castro

Salas-Garza

et al. 2022

Skin Appendage Disord

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“…Bleeding associated with tears can occur in the context of infection, inflammation, vascular tumors, or trauma to the eye. The source of bleeding may also be the puncta [1][2][3]. Due to the intimate connection of nose and eye via the lacrimal apparatus, an increase in pressure within the nasal cavity can cause retrograde blood flow through the system and lead to bloody tears emerging from the ipsilateral punctum.…”

Section: Case Reportmentioning

confidence: 99%

Epistaxis-related hemolacria in a 6-year-old female after midfacial trauma: Epistaxis-related hemolacria

Demirer Çelik,

Aslan

2024

Indian J Case Reports

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Hemolacria (HL) is a rare condition characterized by the presence of blood in the tears. Bleeding associated with tears can occur in the context of infection, inflammation, trauma to the eye or surrounding structures, vascular tumors of the eye or surrounding structures, or retrograde epistaxis. We herein present a pediatric case with HL in the setting of epistaxis due to post-traumatic vessel injury without fracture, along with a literature review. Bleeding from the inferior lacrimal punctum was controlled by successful cauterization of damaged vessels and follow-up has remained uneventful for over a year. Bleeding from the eye is an alarming symptom, especially if it developed after facial trauma. However, physicians should be more aware that, in the absence of a fracture, HL due to retrograde epistaxis resulting from facial trauma can be a self-limited condition that is easily treated by controlling nasal hemorrhage.

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“…Hemolacria, which is characterized by a presence of blood in tears, can occur in the context of infection, inflammation, or trauma to the eye or surrounding structures, vascular tumors of the eye or surrounding structures, retrograde epistaxis, bleeding disorders resulting from systemic disease or medications, or psychogenic causes [1,2]. However, idiopathic hemolacria is rarely reported and requires a thorough examination and workup for diagnosis by exclusion [2].…”

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confidence: 99%

“…It may be accompanied by hematohidrosis, bloody otorrhea, epistaxis, hematochezia, and hematuria [2][3][4]. Treatment options depend on the reason of condition [1,5]. Tissue eosinophilia, especially in the context of hemolacria and other systemic bleedings, should prompt to administration of antihistaminics and glucocorticoids to prevent severe or fatal progression of the disease.…”

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confidence: 99%

Hemolacria, epistaxis, bloody otorrhea, hemoptysis, and hematuria in an 18-year-old man

Kosałka-Węgiel¹,

Wawrzycka-Adamczyk²,

Matyja-Bednarczyk³

et al. 2021

Polish Archives of Internal Medicine

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This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC BY-NC-SA 4.0), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited, distributed under the same license, and used for noncommercial purposes only.

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Hemolacria — Crying Blood

Cited by 11 publications

References 0 publications

Hematohidrosis, Hemolacria, and “Trichorrhage”: A Systematic Review

Hematohidrosis, Hemolacria, and “Trichorrhage”: A Systematic Review

Epistaxis-related hemolacria in a 6-year-old female after midfacial trauma: Epistaxis-related hemolacria

Hemolacria, epistaxis, bloody otorrhea, hemoptysis, and hematuria in an 18-year-old man

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