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      HEMATOHIDROSIS – A RARE CLINICAL PHENOMENON

      case-report

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          Abstract

          Hematohidrosis is a very rare condition of sweating blood. A case of hematohidrosis is reported. There are only few reports in the literature.

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          Hematidrosis: a pathologic process or stigmata. A case report with comprehensive histopathologic and immunoperoxidase studies.

          Jane Manonukul, Wanee Wisuthsarewong, Rattanavalai Chantorn … (2008)
          Cases of hematidrosis (bloody sweat) are extremely rare. This disease has been described in various terms and has been often tied to religious belief as stigmatization. We report a typical patient with hematidrosis in a 14-year-old girl who frequently bled from her scalp and palms, and, occasionally, from trunk, soles, and legs. The bloody sweat from her scalp contained all blood elements. Immediate biopsy after there was bleeding on her scalp showed multiple blood-filled spaces that opened directly into the follicular canals or on to the skin surface. Immunoperoxidase studies failed to demonstrate vascular nature of these spaces. Our study explained how and why there was bleeding in our patient and in patients with related conditions as described in earlier literatures. We also explained why this phenomenon was intermittent because the spaces indicated above will disappear after exuding their content but then reoccurred after the blood flow was reestablished.
          Article 0 comments Cited 12 times – based on 0 reviews     Review now
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            Blood, sweat and fear. "A classification of hematidrosis".

            A Holoubek, J Holoubek (1995)
            In order to verify the accuracy of the commonly used statement, "I sweat blood," a survey of the literature in the subject of hematidrosis was made. Seventy-six cases were studied and classified into categories according to the causative factor. These were, component of systemic disease, vicarious menstruation, excessive exertion, psychogenic, and unknown. The psychogenic were further subdivided into those that occurred only one time, those that recurred and the stigmatics. Acute fear and intense mental contemplation were found to be the most frequent inciting causes. Hematidrosis is an extremely rare clinical phenomenon with only few instances reported to have occurred within the twentieth century.
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              [Clinical and laboratory study of a case of hematidrosis].

              Kuo-Shu Chen, Mao Xu, Neng Nie … (2004)
              To study the clinical characteristics and pathogenesis of hematidrosis. Detailed clinical manifestations and natural history of a patient with hematidrosis were presented. A series of laboratory examinations were performed, and skin pathohistologic features and ultra microscopic structures were observed. The episodes of skin bleeding occurred on any site of the body spontaneously and promptly. The skin surface bloody extravasation has identical cell components as that of peripheral blood. All the results of laboratory tests were normal except a positive Trousseau's test. Skin pathohistological study revealed some intradermal bleeding and emphraxised capillaries. No abnormality was found in sweat glands, hair follicles and sebaceous glands. The pathological basis for hematidrosis might be a distinctive vasculitis.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Indian J Dermatol
                Journal ID (publisher-id): IJD
                Title: Indian Journal of Dermatology
                Publisher: Medknow Publications (India )
                ISSN (Print): 0019-5154
                ISSN (Electronic): 1998-3611
                Publication date (Print): Jul-Sep 2009
                Volume: 54
                Issue: 3
                Pages: 290-292
                Affiliations
                From the Department of Dermatology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai – 400022, India
                Author notes
                Address for correspondence: Dr. Bhagyashree Jaju, C-803, Gayatri Shivam CHS, Thakur Complex, Kandivali (E), Mumbai - 101, India. E-mail: bhagyashree123@ 123456yahoo.com
                Article
                Publisher ID: IJD-54-290
                DOI: 10.4103/0019-5154.55645
                PMC ID: 2810702
                PubMed ID: 20161867
                SO-VID: 5ede8eba-4fd3-4b15-b403-cfd2dafe08e8
                Copyright © © Indian Journal of Dermatology
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : September 2008
                Date accepted : September 2008
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Dermatology
                Keywords: blood,heperhidrosis,sweat,hematohidrosis
                Data availability:
                ScienceOpen disciplines: Dermatology
                Keywords: blood, heperhidrosis, sweat, hematohidrosis

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