Sawant Neena Sanjiv, Singh Deepika Abhainath
Department of Psychiatry, Seth G.S. Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India.
Indian J Psychol Med. 2012 Oct;34(4):388-90. doi: 10.4103/0253-7176.108229.
We describe the clinical presentation of a 25-year-old female patient who presented in dermatology with recurrent episodes of painful ecchymotic bruising over the anterior aspect of both arms and face. On enquiry, these episodes were precipitated by emotional stress and were preceded with a history of fall from the stairs. The patient also had multiple stressors in her day-to-day life and symptoms of depression. A diagnosis of mild depressive disorder without somatic complaints and Gardner Diamond syndrome was made. The patient was started on antidepressants, which not only improved her mood symptoms but also caused a remission of her painful bruises.
我们描述了一名25岁女性患者的临床表现，该患者因双臂和面部前部反复出现疼痛性瘀斑而就诊于皮肤科。经询问，这些发作是由情绪压力引发的，且之前有过从楼梯上摔落的病史。该患者在日常生活中也有多种压力源以及抑郁症状。诊断为无躯体主诉的轻度抑郁症和加德纳·戴蒙德综合征。患者开始服用抗抑郁药，这不仅改善了她的情绪症状，还使她疼痛的瘀斑得到缓解。
