Haemolacria
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Haemolacria or hemolacria is a physical condition that causes a person to produce
tears Tears are a clear liquid secreted by the lacrimal glands (tear gland) found in the eyes of all land mammals. Tears are made up of water, electrolytes, proteins, lipids, and mucins that form layers on the surface of eyes. The different types of ...
that are partially composed of
blood Blood is a body fluid in the circulatory system of humans and other vertebrates that delivers necessary substances such as nutrients and oxygen to the cells, and transports metabolic waste products away from those same cells. Blood is com ...
.


Description

Haemolacria can manifest as tears ranging from merely red-tinged to appearing to be entirely made of blood, and may also be indicative of a
tumor A neoplasm () is a type of abnormal and excessive growth of tissue. The process that occurs to form or produce a neoplasm is called neoplasia. The growth of a neoplasm is uncoordinated with that of the normal surrounding tissue, and persists ...
in the
lacrimal apparatus The lacrimal apparatus is the physiological system containing the Orbit (anatomy), orbital structures for tears, tear production and drainage.Cassin, B. and Solomon, S. ''Dictionary of Eye Terminology''. Gainesville, Florida: Triad Publishing Co ...
. It is most often provoked by local factors such as bacterial conjunctivitis, environmental damage or injuries. On rare occasions, a
nosebleed A nosebleed, also known as epistaxis, is an instance of bleeding from the nose. Blood can flow down into the stomach, and cause nausea and vomiting. In more severe cases, blood may come out of both nostrils. Rarely, bleeding may be so significa ...
may result in bloody tears if the shed blood is forced to flow up and through the
nasolacrimal duct The nasolacrimal duct (also called the tear duct) carries tears from the lacrimal sac of the eye into the nasal cavity. The duct begins in the eye socket between the maxillary and lacrimal bones, from where it passes downwards and backwards. ...
s. Acute haemolacria can occur in fertile women and seems to be induced by hormones, similarly to what happens in
endometriosis Endometriosis is a disease in which Tissue (biology), tissue similar to the endometrium, the lining of the uterus, grows in other places in the body, outside the uterus. It occurs in women and a limited number of other female mammals. Endomet ...
.


Cases

; :From
Lucknow Lucknow () is the List of state and union territory capitals in India, capital and the largest city of the List of state and union territory capitals in India, Indian state of Uttar Pradesh and it is the administrative headquarters of the epon ...
,
India India, officially the Republic of India, is a country in South Asia. It is the List of countries and dependencies by area, seventh-largest country by area; the List of countries by population (United Nations), most populous country since ...
, Dwivedi presented a rare condition that appeared to cause her to spontaneously bleed from her eyes and other parts of her body without presenting any visible wounds. Dwivedi was the subject of numerous medical research studies and TV shows including '' Body Shock'' and a
National Geographic ''National Geographic'' (formerly ''The National Geographic Magazine'', sometimes branded as ''Nat Geo'') is an American monthly magazine published by National Geographic Partners. The magazine was founded in 1888 as a scholarly journal, nine ...
documentary. :In the absence of a medical explanation for her condition, some religious explanations have been posed. It was suggested that she could have had an unknown disease, but more skeptical views hypothesized that the case might be explained by
Münchausen syndrome by proxy Factitious disorder imposed on another (FDIA), also known as fabricated or induced illness by carers (FII), medical child abuse and originally named Munchausen syndrome by proxy (MSbP) after Munchausen syndrome, is a mental health disorder i ...
, where her mother, seemingly the only one to witness her bleeding actually starting, was fabricating the story and somehow inducing the effect on the girl. Sanal Edamaruku observed in 2010 that the pattern seemed to match her menstrual cycle and believed that she was faking the symptoms. ;Calvino Inman :Aged 22, reported to weep tears of blood 5 times a day. ;Rashida Khatoon :From India, was reportedly crying blood up to five times a day in 2009, and fainting with every weeping. ;Débora Santos :Age 17, from Brazil. Was reported to have cried tears of blood several times in her life. ;Yaritza Oliva (not officially diagnosed) :Age 21, from Chile. Was reported to have cried tears of blood several times a day in 2013. ;Linnie Ikeda (not officially diagnosed) :Age 25, from Waikele, Hawai'i on the island of 'O'ahu. She was diagnosed after 2008 with Gardner–Diamond syndrome for her random bruising, but in 2010 had symptoms of the splitting of her tongue which would bleed profusely. In 2011, Ikeda has started bleeding from her eyes. ;Marnie-Rae Harvey (not officially diagnosed) :Age 17, from the United Kingdom. Started in 2013 with initially coughing up blood but now persists in her tears since 2015. ;Sakhina Khatun :From Bhagwangola, Murshidabad, West Bengal, India, was reportedly crying blood many times a day in 2019, and fainting with every weeping.


In popular culture

French author the
Marquis de Sade Donatien Alphonse François, Marquis de Sade ( ; ; 2 June 1740 – 2 December 1814) was a French writer, libertine, political activist and nobleman best known for his libertine novels and imprisonment for sex crimes, blasphemy and pornography ...
claimed to have "wept tears of blood" after he thought his novel ''
The 120 Days of Sodom ''The 120 Days of Sodom, or the School of Libertinage'' () is an unfinished novel by the French writer and nobleman Marquis de Sade, Donatien Alphonse François, Marquis de Sade, written in 1785 and published in 1904 after its manuscript was r ...
'' was thought to be lost in July 1789. However, the work was later recovered. It is unclear whether the Marquis actually suffered haemolacria, or whether he was using it as a figure of speech.
Le Chiffre Le Chiffre (, 'The Cypher' or 'The Digit') is a fictional character and the main antagonist of Ian Fleming's 1953 James Bond novel, ''Casino Royale (novel), Casino Royale''. On screen Le Chiffre has been portrayed by Peter Lorre in the Casino Ro ...
, the main antagonist of the 2006 film '' Casino Royale'', suffers from haemolacria. On the television series ''
Manifest Manifest may refer to: Computing * Manifest file, a metadata file that enumerates files in a program or package * Manifest (CLI), a metadata text file for CLI assemblies Events * Manifest (convention), a defunct anime festival in Melbourne, Au ...
'', Dr. Saanvi Bahl suffered from hemolacria and erratic blood pressure in the season 3 episode ''Bogey''. In the Afterbirth+ expansion of '' The Binding of Isaac: Rebirth'', haemolacria is an unlockable passive item that causes tears to burst into smaller tears upon hitting a wall, obstacle or enemy and turns tears into blood tears. A seemingly popular creepypasta, known as ''Squidward's Suicide'' or ''Red Mist'', depicts the ''
SpongeBob Squarepants ''SpongeBob SquarePants'' is an American animated television series, animated comedy television series created by marine science educator and animator Stephen Hillenburg for Nickelodeon. It first aired as a sneak peek after the 1999 Kids' C ...
'' character Squidward Tentacles suffering from this condition before committing
suicide Suicide is the act of intentionally causing one's own death. Risk factors for suicide include mental disorders, physical disorders, and substance abuse. Some suicides are impulsive acts driven by stress (such as from financial or ac ...
. Protein analysis of paper letters written by Vlad Dracula has revealed evidence suggesting haemolacria, consistent with stories from the last years of his life.


See also

* Hematidrosis – blood in sweat


References

{{Reflist Symptoms Body fluids Rare diseases Bleeding