Fey M F, Beck E A
J Clin Psychiatry. 1986 Jul;47(7):386-7.
A patient whose peculiar and painful purpura seemed to be strongly related to psychogenic factors is described. The skin bleeding pattern in this patient was consistent with the diagnosis of psychogenic purpura (autoerythrocyte sensitization). In addition, idiopathic thrombocytopenic purpura and platelet storage pool deficiency were present. These somatic conditions are considered to be of minor importance in the pathogenesis of this hemorrhagic syndrome. The association of these various types of bleeding disorders in the same patient has not been previously described.
本文描述了一名患者，其特殊且疼痛的紫癜似乎与心理因素密切相关。该患者的皮肤出血模式符合心理性紫癜（自身红细胞致敏）的诊断。此外，还存在特发性血小板减少性紫癜和血小板贮存池缺乏症。这些躯体状况在这种出血综合征的发病机制中被认为不太重要。同一患者出现这些不同类型出血性疾病的关联此前尚未见报道。
