Nguyen Hao Trong, Vo Phuong Thi Doan, Nguyen Trinh Thi Diem, Nguyen Quynh Truc, Truong Dao Le
Ho Chi Minh City Hospital of Dermato-Venereology, Vietnam.
Dermatol Reports. 2022 Dec 23;15(2):9615. doi: 10.4081/dr.2023.9615. eCollection 2023 Jun 7.
Here, we report a case involving a 10-year-old Vietnamese girl who developed hematohidrosis during the coronavirus disease quarantine. She was hospitalized with a 3-week recurrent bleeding on the abdominal skin. Physical examination revealed no signs of injuries on the skin. Hematological and biochemical test results and coagulation profiles were all within normal ranges. No abnormal findings were observed on abdominal ultrasonography and computed tomography. Numerous erythrocytes were observed during the microscopic examination of fluid samples from the abdominal skin. It was speculated that hematohidrosis was precipitated by separation anxiety disorder, because the onset and remission of symptoms correlated with the beginning and end of the local quarantine, respectively. Our case report and brief literature review highlight the transient and benign nature of hematohidrosis. Although specific guidelines are not well established, hematohidrosis is a transient phenomenon that is treatable with pharmaceutical and non-pharmaceutical interventions, and its overall prognosis is favorable.
在此，我们报告一例涉及一名10岁越南女孩的病例，该女孩在冠状病毒病隔离期间出现血汗症。她因腹部皮肤反复出血3周而住院。体格检查未发现皮肤有损伤迹象。血液学和生化检查结果以及凝血指标均在正常范围内。腹部超声和计算机断层扫描未观察到异常发现。在对腹部皮肤液体样本进行显微镜检查时观察到大量红细胞。据推测，血汗症是由分离焦虑症引发的，因为症状的发作和缓解分别与当地隔离的开始和结束相关。我们的病例报告和简要文献综述突出了血汗症的短暂性和良性性质。尽管尚未建立具体的指南，但血汗症是一种短暂现象，可通过药物和非药物干预进行治疗，其总体预后良好。
