[Ophthalmologic diagnosis of hereditary hemorrhagic telangiectasia or Rendu-Osler-Weber disease].
METHODS
Our patient was a 45-year-old woman who had recurrent episodes of hematic epiphora, repeated epistaxes for which no cause was found and a family history of gastric hemorrhage. One of her daughters also suffered from spontaneous hemorrhages.


CONCLUSIONS
Hereditary hemorrhagic telangiectasia is rarely diagnosed by an ophthalmologist; however the occurrence of bloody tears occurring spontaneously in a patient with epistaxis or gastric hemorrhage should lead to suspicion of hereditary hemorrhagic telangiectasia or Rendu-Osler-Weber disease. It should never be forgotten that clinical examination and appropriate investigations are basic components of disease diagnosis.
Pizzamiglio-Martín
C
C
Complejo Hospitalario de Toledo, Hospital Virgen de la Salud, Toledo, España. campizz@yahoo.es
Gil-Cazorla
R
R
Guzmán-Glázquez
J
J
D005260:Female; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000209:etiology*; D008875:Middle Aged; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000150:complications* / Q000175:diagnosis*