Gundogar Duru, Yuksel Basak Pinar, Baysal Akkaya Vahide, Akarsu Ozlem
Suleyman Demirel University School of Medicine, Isparta, Turkey.
J Dermatol. 2006 Mar;33(3):211-4. doi: 10.1111/j.1346-8138.2006.00048.x.
The clinical presentation of a patient with autoerythrocyte sensitization syndrome associated with a complicated grief reaction is reported. A 50-year-old female patient presented with recurrent episodes of painful ecchymotic bruising on the lower extremities which started in 1995 after the sudden death of her son and exacerbated almost every year at approximately the same time her son died as an anniversary reaction. No pathological findings were detected in the laboratory examinations. The diagnosis was confirmed by induction of similar lesions by i.d. injection of the patient's own washed erythrocytes and whole blood. Psychiatric assessment revealed that the patient was depressed, socially introverted, overly defensive and avoidant in interpersonal relationships. Antidepressant treatment and psychotherapy for major depression and grief complications were started with the patient. Having an awareness of this rare condition will assist in the prevention of unnecessary investigations in such cases and will allow early referral for appropriate psychological counseling.
报告了一例伴有复杂悲伤反应的自身红细胞致敏综合征患者的临床表现。一名50岁女性患者自1995年儿子突然去世后，下肢反复出现疼痛性瘀斑，几乎每年在儿子去世的同一时间（作为周年反应）病情加重。实验室检查未发现病理结果。通过皮内注射患者自身洗涤后的红细胞和全血诱导出类似病变，从而确诊。精神科评估显示该患者情绪低落、社交内向、过度防御且在人际关系中回避。开始对该患者进行针对重度抑郁和悲伤并发症的抗抑郁治疗及心理治疗。了解这种罕见疾病将有助于在此类病例中避免不必要的检查，并能促使早期转诊以获得适当的心理咨询。
