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成人血汗症的病例报告、病理生理学及治疗方法综述

Case Report and Review of the Pathophysiology and Therapeutics of Adult Hematohidrosis.

作者信息

Ogbuneke Juvarez U, Allen John C

机构信息

Internal Medicine, Baptist Memorial Hospital, Oxford, USA.

Hematology and Oncology, Baptist Memorial Hospital, Oxford, USA.

出版信息

Cureus. 2023 Mar 15;15(3):e36187. doi: 10.7759/cureus.36187. eCollection 2023 Mar.

DOI:10.7759/cureus.36187
PMID:36937119
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10016733/
Abstract

Hematohidrosis is an extremely rare condition characterized by the oozing or secretion of blood through intact skin and mucosa, particularly through eccrine glands. Although there is not much literature available on the condition, examples of Hematohidrosis include the crying and sweating of blood. The fluid may have a bloody tinge or may be frank blood. The anomaly has no identifiable etiology, and patients generally present in a good state of health. In this report, we present a 19-year-old female who had weekly occurrences of bloody diaphoresis that had been present consistently for one year. During her presentation at the hematology clinic, she was investigated thoroughly for alternative causes, but none were found. The patient was diagnosed with hematohidrosis and was offered treatment with propranolol, which she declined. She continues to follow up routinely in the hematology clinic with persistent symptoms.

摘要

血汗症是一种极为罕见的病症,其特征是血液通过完整的皮肤和黏膜渗出或分泌,尤其是通过汗腺。尽管关于这种病症的文献资料不多,但血汗症的例子包括哭泣时流血和出汗带血。流出的液体可能带有血色,也可能是鲜血。这种异常情况没有可确定的病因,患者通常健康状况良好。在本报告中,我们介绍了一名19岁女性,她每周都会出现血汗症,这种情况持续了一年。在她到血液科门诊就诊时,对其他可能的病因进行了全面检查,但未发现任何异常。该患者被诊断为血汗症,并提供了普萘洛尔治疗,但她拒绝了。她因症状持续,继续在血液科门诊定期随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41f9/10016733/426f70edc774/cureus-0015-00000036187-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41f9/10016733/426f70edc774/cureus-0015-00000036187-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41f9/10016733/426f70edc774/cureus-0015-00000036187-i01.jpg

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本文引用的文献

1
Pediatric hematidrosis - A case report and review of the literature and pathogenesis.小儿汗血症——病例报告及文献复习和发病机制探讨。
Pediatr Dermatol. 2021 Sep;38(5):994-1003. doi: 10.1111/pde.14792. Epub 2021 Sep 13.
2
Hematidrosis (bloody sweat): a review of the recent literature (1996-2016).血汗症(血性汗液):近期文献综述(1996 - 2016年)
Acta Dermatovenerol Alp Pannonica Adriat. 2018 Jun;27(2):85-90.
3
A curious case of sweating blood.一例罕见的血汗病例。
Indian J Dermatol. 2013 Nov;58(6):478-80. doi: 10.4103/0019-5154.119964.
4
Hematohidrosis: A rare clinical entity.血汗症:一种罕见的临床病症。
Indian Dermatol Online J. 2010 Jul;1(1):30-2. doi: 10.4103/2229-5178.73256.
5
Hematohidrosis - a rare clinical phenomenon.血汗症——一种罕见的临床现象。
Indian J Dermatol. 2009 Jul;54(3):290-2. doi: 10.4103/0019-5154.55645.
6
Hematidrosis: a pathologic process or stigmata. A case report with comprehensive histopathologic and immunoperoxidase studies.血汗症:一种病理过程或体征。一项包含全面组织病理学和免疫过氧化物酶研究的病例报告。
Am J Dermatopathol. 2008 Apr;30(2):135-9. doi: 10.1097/DAD.0b013e318164cf4b.