Sorensen R U, Newman A J, Gordon E M
Clin Pediatr (Phila). 1985 Dec;24(12):700-4. doi: 10.1177/000992288502401206.
The occurrence of psychogenic purpura has been documented in adults. The authors present their experience with nine adolescent and young adult patients observed since 1981. The age of eight of these patients ranged from 13 to 18 years. One patient with cystic fibrosis was 23-years-old. All patients presented with painful inflammatory lesions followed by bruising. There was no evidence of an infectious process or a hematologic, immunologic, or renal abnormality. Integral to the diagnosis was the existence of an underlying emotional disorder. In all patients, bruising decreased after diagnosis was explained to the patient and family. Four patients required psychotherapy. Results of 2-year follow-up suggest that early intervention may produce a favorable outcome in this age group.
心因性紫癜在成人中的发生已有文献记载。作者介绍了自1981年以来观察到的9例青少年及青年患者的情况。其中8例患者年龄在13至18岁之间。1例患有囊性纤维化的患者为23岁。所有患者均先出现疼痛性炎症性病变，随后出现瘀伤。没有感染过程或血液学、免疫学或肾脏异常的证据。诊断的关键是存在潜在的情绪障碍。在向患者及其家属解释诊断后，所有患者的瘀伤均有所减轻。4例患者需要心理治疗。2年随访结果表明，早期干预可能使该年龄组患者获得良好预后。
