Shahgholi Elham
Division of Pediatric Hematology Oncology, Bahrami Children Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Turk J Pediatr. 2018;60(6):757-761. doi: 10.24953/turkjped.2018.06.022.
Shahgholi E. A case series of hematohidrosis: A puzzling medical phenomenon. Turk J Pediatr 2018; 60: 757-761. Hematohidrosis (bloody sweat), also known as hematidrosis, is a rare clinical entity characterized by recurrent, spontaneous, self-limited episodes of blood oozing from intact skin or mucosa that are witnessed by medical personnel. We hereby report three healthy children with the history of recurrent episodes of bleeding from the intact skin over their various parts of the body. Most of these bleeding episodes occurred after stressful situations. On the basis of clinical presentation and normal investigation, they were diagnosed with hematohidrosis. We treated them with non-specific beta-blocker (propranolol). Follow-up observation of these patients demonstrated marked diminish in the frequency and severity of their episodes. In spite of the rarity of hematohidrosis, it should be considered as a differential diagnosis of bleeding episodes in patients with normal physical and laboratory investigations.
沙赫戈利E. 血汗症病例系列：一种令人困惑的医学现象。《土耳其儿科学杂志》2018年；60：757 - 761。血汗症（血性汗液），也称为血汗症，是一种罕见的临床病症，其特征为医务人员目睹完整皮肤或黏膜反复、自发、自限性地渗血。我们在此报告三名健康儿童，他们身体各部位的完整皮肤有反复出血发作史。这些出血发作大多发生在压力情境之后。根据临床表现和正常检查，他们被诊断为血汗症。我们用非特异性β受体阻滞剂（普萘洛尔）对他们进行治疗。对这些患者的随访观察显示，其发作的频率和严重程度明显降低。尽管血汗症罕见，但在体格检查和实验室检查正常的患者出现出血发作时，应将其视为鉴别诊断之一。
