Hémolacrymie idiopathique chez une adolescente de 15 ans

Source: PubMed Central Open Access, NCBI / U.S. National Library of Medicine

Hemolacria is a rare condition characterised by the discharge of bloody tears. It may be secondary to local or systemic causes, but is sometimes idiopathic. We report the case of a 15-year-old girl with no prior medical history, presenting with intermittent episodes of bilateral hemolacria for one month. Clinical, ophthalmological and ENT examinations were unremarkable. Laboratory tests, including a complete blood count and coagulation tests (prothrombin time, activated partial thromboplastin time, fibrinogen, von Willebrand factor, and platelet aggregation tests), were strictly normal, with no evidence of a hematological or coagulation disorder. Imaging (brain and orbit MRI) revealed no abnormalities. In the absence of an identified etiology, a diagnosis of idiopathic hemolacria was retained. The course was marked by persistence of episodes, without hemodynamic or systemic consequences. Idiopathic hemolacria is an exceptional clinical entity, particularly in adolescent girls, and requires regular monitoring to detect any possible underlying cause.