Hanna W T, Fitzpatrick R, Krauss S, Machado E, Dunn C D
South Med J. 1981 May;74(5):538-42. doi: 10.1097/00007611-198105000-00008.
A 41-year-old woman has had a long history of repeated episodes of recurrent painful ecchymotic lesions. Results of coagulation tests were normal other than a slight decrease in antithrombin III. Skin tests were positive in response to the patient's own washed red cells. Light and electron microscopy of both the spontaneous and the induced lesions showed nonspecific changes but failed to reveal immunologic vasculitis. Psychologic evaluation showed hysterical and masochistic traits, depression, anxiety, and inability to deal appropriately with hostile impulses. Placebo was successful on several occasions in controlling or modifying the severity of the ecchymotic lesions.
一名41岁女性长期反复出现疼痛性瘀斑病变。除抗凝血酶III略有降低外，凝血试验结果正常。皮肤试验对患者自身洗涤后的红细胞呈阳性反应。对自发性和诱发性病变进行光镜和电镜检查均显示非特异性改变，但未发现免疫性血管炎。心理评估显示有癔症和受虐倾向、抑郁、焦虑，且无法适当应对敌对冲动。安慰剂曾多次成功控制或减轻瘀斑病变的严重程度。
