Haematohidrosis: A Case Series of Five Patients.

Mymensingh medical journal : MMJ Pub Date : 2023-07-01
M N Hasan, S K Biswas, S Islam, M A Rahman
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Abstract

Haematohidrosisis manifested by sweating mixed with blood. It is a rare disease and there are scarce literature regarding case report. We are describing five cases of haematohidrosis in different age group here in this case series. In case 1- a 20 year old woman was admitted with history of recurrent haemorrhage from various sites without any trauma or anticoagulant or antipletlet medication. There was no evidence of local trauma. Physical examination was unremarkable. Her blood workup came out insignificant. In case 2- a 10 year old boy was admitted with epistaxis, conjunctival bleeding, haematuria and per rectal bleeding without any history of injury. He had no history of medicine which would cause bleeding. Physical examination and laboratory profile were insignificant. In case 3- a 15 year old boy presented with recurrent haematuria and conjunctival haemorrhage without any trauma. No history of medication that would cause the bleeding. His systemic examination and laboratory profile was unremarkable. In case 4- a 25 year old woman presented with bleeding from ear, nose and eyes without any local trauma. She was not on any medication that would cause bleeding. Her systemic inquiry and laboratory profile was unremarkable. In case 5- a 20 year old woman presented with bleeding from eyes, ears and umbilicus. There was no evidence of self-inflicted injury. She had features of anxiety disorder. Other systemic examination and laboratory profile was unremarkable. All the cases were labelled as haematohidrosis and treated with propranolol with successful outcome. We report this case series to build up awareness and disseminate clinical knowledge.

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血汗症:5例患者的病例系列。
血汗症表现为出汗与血液混合。这是一种罕见的疾病,文献报道较少。在这个病例系列中,我们描述了不同年龄组的5例血汗病。病例1-一名20岁女性入院,有多处复发性出血史,无外伤或抗凝或抗小血小板药物。没有局部创伤的迹象。体格检查无明显异常。她的血液检查结果不正常。病例2-一名10岁男孩入院,有鼻出血、结膜出血、血尿和直肠出血,无任何外伤史。他没有会导致出血的药物史。体格检查和实验室分析无显著差异。病例3-一名15岁男孩,无任何外伤,表现为复发性血尿和结膜出血。没有导致出血的药物史。他的全身检查和实验室情况一般。病例4-一名25岁女性,表现为耳、鼻和眼出血,没有任何局部创伤。她没有服用任何会导致出血的药物。她的系统调查和实验室分析并不引人注目。病例5-一名20岁妇女,眼睛、耳朵和肚脐出血。没有证据表明他是自残。她有焦虑症的特征。其他系统检查及实验室检查无显著差异。所有病例均被标记为血汗病,并给予心得安治疗,结果良好。我们报告这个病例系列是为了建立认识和传播临床知识。
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