A Very Rare Case of Bloody Tears with Enigmatic Epistaxis and Haematuria

Abstract

Background: Bloody tears are a rare symptom that can be caused by local or systemic pathology.

Methods: We describe a very rare case of bloody tears that resulted from hyperthyroidism.

Results: A 15-year-old female patient presented with a 6-month history of bloody tears and epistaxis. Examination excluded local ocular and nasal pathology, including neoplasm and coagulopathy. Systemic investigations identified elevated thyroid function and following treatment her symptoms resolved. We discuss the mechanism by which hyperthyroidism may induce haemostatic dysfunction.

Conclusion: We present the first case of bloody tears secondary to thyroid dysfunction.

Keywords:

• Bloody tears
• Hyperthyroidism
• Epistaxis
• Lacrimation

ACKNOWLEDGMENTS

The authors have not received any funding for this study.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.