Alasfoor Sara, Albashari Muna, Alsermani Aya, Bakir Mohamad, Alsermani Maamoun, Almustanyir Sami
College of Medicine, Alfaisal University, Riyadh, SAU.
College of Medicine, Dar Al Uloom University, Riyadh, SAU.
Cureus. 2022 Jan 28;14(1):e21682. doi: 10.7759/cureus.21682. eCollection 2022 Jan.
Hematohidrosis is a rare disorder of blood excretion from the eccrine sweat gland not associated with an injury or trauma. Although several hypotheses exist to explain such a condition, the etiology of hematohidrosis remains unknown. Psychological stress is strongly linked to the condition, yet patients may present completely healthy with no identifiable etiology. The diagnosis of hematohidrosis can be difficult and requires the exclusion of bleeding disorders, vasculitis, and other disorders. Here, we present a case of hematohidrosis in a 20-year-old female who had almost weekly bloody tears, as well as gum bleeding, ear bleeding, and epistaxis for the past four months. During hospitalization, the patient was thoroughly investigated for an etiology, but no identifiable cause was found. The patient was diagnosed with hematohidrosis and treated with propranolol. Her condition had improved significantly on follow-up.
血汗症是一种罕见的疾病，指从外分泌汗腺排出血液，且与损伤或创伤无关。尽管存在多种假说来解释这种病症，但血汗症的病因仍然不明。心理压力与该病密切相关，然而患者可能表现完全健康，找不到明确病因。血汗症的诊断可能困难，需要排除出血性疾病、血管炎及其他病症。在此，我们报告一例20岁女性血汗症病例，该患者在过去四个月几乎每周出现血性泪液，同时伴有牙龈出血、耳部出血和鼻出血。住院期间，对患者进行了全面病因调查，但未发现明确病因。患者被诊断为血汗症，并接受了普萘洛尔治疗。随访时其病情有显著改善。
