title: 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.
  
  
  CONCLUSIONS
  We present the first case of bloody tears secondary to thyroid dysfunction.
authors: Imperial College School of Medicine, London, UK. jason.ho03@imperial.ac.uk
authors: Jason Z S
authors: JZ
authors: Ho
authors: Julian
authors: J
authors: de Silva
authors: Jane
authors: J
authors: Olver
mesh_terms: D000293:Adolescent; D013956:Antithyroid Agents / Q000627:therapeutic use; D002231:Carbimazole / Q000627:therapeutic use; D004844:Epistaxis / Q000209:etiology*; D005130:Eye Hemorrhage / Q000209:etiology*; D005260:Female; D006417:Hematuria / Q000209:etiology*; D006801:Humans; D006980:Hyperthyroidism / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D007766:Lacrimal Apparatus Diseases / Q000209:etiology*; D013666:Tears; D013960:Thyroid Function Tests
chemical_list: D013956:Antithyroid Agents; D002231:Carbimazole