[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.
Complejo Hospitalario de Toledo, Hospital Virgen de la Salud, Toledo, España. campizz@yahoo.es
C
C
Pizzamiglio-Martín
R
R
Gil-Cazorla
J
J
Guzmán-Glázquez
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*