Talwar Milan, Chidambaram Aakash Chandran, Mekala Suresh, Parameswaran Narayanan, Delhikumar C G
Department of Pediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
Paediatr Int Child Health. 2021 Nov;41(4):300-302. doi: 10.1080/20469047.2021.1951555. Epub 2021 Jul 19.
A 12-year-old boy presented with a 1-year history of episodes of spontaneous bleeding from multiple sites lasting for a few minutes. His medical history was unremarkable and all the episodes of bleeding began after he was separated from his aunt to whom he was very much attached. She had moved out of their home following her marriage. All haematological investigations were normal. He was diagnosed with haematohidrosis secondary to adjustment disorder, and behavioural therapy was advised and propranolol prescribed. At present he is asymptomatic and on regular follow-up.: Adjustment disorder: maladaptive response to a psychosocial stressor in an individual with significant difficulty coping with a stressful psychosocial event; anxiolytics: medication that reduces anxiety; chromohydrosis: secretion of coloured sweat; haematochezia: passage of fresh blood through the anus, usually in or with stools; haematohidrosis: sweating blood; oto-erythrosis: spontaneous bleeding from the ear; otorrhagia: haemorrhage from the ear; vicarious menstruation: cyclical bleeding outside the uterine cavity during the menstrual cycle.
一名12岁男孩有1年多的病史，表现为多个部位自发出血，持续数分钟。他的病史无异常，所有出血发作均始于他与非常依恋的阿姨分开后。阿姨婚后搬离了他们家。所有血液学检查均正常。他被诊断为因适应障碍继发血汗症，建议进行行为治疗并开了普萘洛尔。目前他无症状，正在定期随访。：适应障碍：个体在应对心理社会应激源时出现显著困难，对该应激源产生的适应不良反应；抗焦虑药：减轻焦虑的药物；色汗症：分泌有色汗液；便血：新鲜血液经肛门排出，通常随粪便排出或夹杂在粪便中；血汗症：出汗带血；耳红细胞增多症：耳部自发出血；耳出血：耳部出血；代偿性月经：月经周期中子宫腔外的周期性出血。
