Khalid Shahid Raza, Maqbool Shahzad, Raza Nusrat, Mukhtar Tahir, Ikram Aamer, Qureshi Shahbaz
Department of Medicine, Combined Military Hospital, Quetta.
J Coll Physicians Surg Pak. 2013 Apr;23(4):293-4.
Hematohidrosis is a rare condition of excreting blood in sweat, tears or any other part of the body, with varied underlying etiologies and variable success to different available treatment modalities. We are reporting one such case of an adult female who could secrete blood from eyes and ears simultaneously either due to crying as a result of emotional outburst or even sometimes voluntarily. Considering her origin from tribal culture, she was often thought to be victim of some evil spell. The lady had taken various spiritual treatments from Pirs and various forms of medical treatments from homeopaths, quacks and medical doctors, but of no relief. She was treated for 2 months with non-selective beta blocker (propanolol 10 mg thrice daily) along with psychotherapy. She did improve symptomatically but did not get complete cure. Eventually she was lost to follow-up as is common in female patients of tribal background. To our knowledge, this is the first such reported case from Pakistan.
血汗症是一种罕见的病症,表现为在汗液、眼泪或身体的任何其他部位排出血液,其潜在病因多种多样,对不同的现有治疗方式的疗效也各不相同。我们报告了这样一例成年女性病例,她在情绪爆发哭泣时甚至有时能自愿地同时从眼睛和耳朵分泌出血液。考虑到她来自部落文化背景,她常被认为是某种邪恶咒语的受害者。这位女士接受了皮尔(Pirs)的各种精神疗法以及顺势疗法医生、江湖郎中及医生的各种形式的医学治疗,但均无缓解。她接受了2个月的非选择性β受体阻滞剂(普萘洛尔,每日三次,每次10毫克)治疗并辅以心理治疗。她的症状确实有所改善,但并未完全治愈。最终,她失访了,这在部落背景的女性患者中很常见。据我们所知,这是巴基斯坦首例此类报告病例。