An infant with bloody tears in the pediatric emergency department: Evaluation and treatment - A case report and review of the literature

Krishan Kumar, Muhammad Waseem, Aristotle Panayiotopoulos, Marianne Frieri

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Crying is a common complaint in infants. However, crying with bloody tears or hemolacria is an unusual finding in a pediatric emergency department. There are not many conditions that can present with bloody tears. Subconjunctival hemorrhage and hematomas are known to occur with acute Epstein Barr viral infections, accidental trauma, factor deficiencies, tumors such as malignant melanoma, Rendu-Osler-Weber disease, and idiopathic thrombocytopenic purpura. There are also unknown causes. We report an infant with immune thrombocytopenic purpura presented to the pediatric emergency department with bloody tears, who responded well to intravenous gamma globulin therapy. The presence of bloody tears should be carefully investigated as it may represent significant systemic illness, especially with a strong family history of this autoimmune condition.

Original languageEnglish (US)
Pages (from-to)207-210
Number of pages4
JournalPediatric, Allergy, Immunology, and Pulmonology
Volume23
Issue number3
DOIs
StatePublished - Sep 1 2010
Externally publishedYes

Fingerprint

Emergency Treatment
Tears
Hospital Emergency Service
Pediatrics
Crying
Idiopathic Thrombocytopenic Purpura
Hereditary Hemorrhagic Telangiectasia
gamma-Globulins
Virus Diseases
Hematoma
Melanoma
Hemorrhage
Wounds and Injuries
Neoplasms
Therapeutics

ASJC Scopus subject areas

  • Immunology and Allergy
  • Pediatrics, Perinatology, and Child Health
  • Pulmonary and Respiratory Medicine

Cite this

An infant with bloody tears in the pediatric emergency department : Evaluation and treatment - A case report and review of the literature. / Kumar, Krishan; Waseem, Muhammad; Panayiotopoulos, Aristotle; Frieri, Marianne.

In: Pediatric, Allergy, Immunology, and Pulmonology, Vol. 23, No. 3, 01.09.2010, p. 207-210.

Research output: Contribution to journalArticle

Kumar, Krishan ; Waseem, Muhammad ; Panayiotopoulos, Aristotle ; Frieri, Marianne. / An infant with bloody tears in the pediatric emergency department : Evaluation and treatment - A case report and review of the literature. In: Pediatric, Allergy, Immunology, and Pulmonology. 2010 ; Vol. 23, No. 3. pp. 207-210.
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