Autoerythrocyte sensitization syndrome (psychogenic purpura)

Berman, David A.; Roenigk, Henry H.

doi:10.1016/0190-9622(92)70258-h

Cited by 25 publications

(20 citation statements)

References 15 publications

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“…Tartışma GDS sıklıkla genç kadınlarda gözlenen spontan ağrılı ekimozlarla karakterizedir (4,6). Nadiren de çocuk ve erkeklerde de gözlendiği bildirilmiştir (7,8). Hastalığın etiyolojisi bilinmemektedir (5,9).…”

Section: Olguunclassified

Gardner-Diamond syndrome: case report

Öztürk¹,

Akman²,

Sayar³

2012

Gaziantep Med J

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ÖzetGardner-Diamond Sendromu (otoeritrosit sensitizasyon sendromu) genellikle genç kadınlarda tekrarlayan, ağrılı ekimotik plaklarla karakterize bir hastalıktır. Ekimozlar, özellikle emosyonel stres veya hafif travma sonrasında spontan olarak ortaya çıkar. En sık tutulan bölgeler ekstremitelerdir. Burada Gardner-Diamond Sendromu ile birlikte yaygın anksiyete ve depresyon tanısı alan 25 yaşındaki olgu sunularak, nadir görülen bu hastalığın psikiyatrik bozukluklarla bağlantısına dikkat çekildi ve literatür gözden geçirildi. Anahtar kelimeler: Anksiyete; Depresyon; Gardner-Diamond Abstract Gardner-Diamond syndrome is characterized with recurrent, painful, ecchymotic plaques usually seen in young women. Ecchymosis spontaneously occurs after emotional stress and mild trauma. The lesions mostly seen in extremities. In this case, 25 year old patient diagnosed with Gardner-Diamond syndrome with depression and anxiety is presented. Attention has been drawn to this disease in connection with psychiatric disorders and also the literature was reviewed.

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Section: Olguunclassified

Gardner-Diamond syndrome: case report

Öztürk¹,

Akman²,

Sayar³

2012

Gaziantep Med J

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“…infection). [89] Paroxysmal finger hematoma or Achenbach syndrome (figure 5) is a clinically similar phenomenon that is generally isolated to the volar aspect of the digit and not related to psychiatric illness. [86] Acute purple digits in the setting of paroxysmal cardiac palpitations, anxiety, and elevated blood pressure may be secondary to pheochromocytoma.…”

Section: Peripheral Pulses Normalmentioning

confidence: 99%

The Purple Digit

Brown

Zirwas

English

2010

American Journal of Clinical Dermatology

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The acute onset of purple digits is a concerning manifestation and may represent underlying, potentially life-threatening disease. Correctly identifying the etiology of purple digits is essential to proper management, and can aid in the diagnosis of systemic disease. Multiple causes of purple digits and significant overlap in clinical presentation can make diagnosis difficult. Despite the various causes of acute purple digits in the published literature, an algorithmic approach to the evaluation and management of the most common and alarming etiologies has yet to be established. The initial step in evaluating a patient with purple digits is to determine if the cause is associated with hypoxemia or trauma. If the patient is in a stable condition, the dermatologist needs to determine if the process could be related to cold exposure such as Raynaud phenomenon, acrocyanosis, pernio, cryoglobulinemia or frostbite. If the disease occurs independent of temperature, physical examination and histological evaluation of the skin is recommended. The lack of peripheral pulses are concerning for acute arterial thrombosis from peripheral vascular disease or arterial embolism. Non-blanching skin changes on the digit that lack inflammation and microthrombosis most likely represent a bleeding or platelet abnormality; however, if microthrombi are identified a more life-threatening processes such as purpura fulminans or embolic phenomenon may be occurring. Evidence of blood vessel inflammation suggests a leukocytoclastic vasculitis. The patient with a purple blanching digit and normal pulses requires an extensive historical review to help determine the cause. This review presents an algorithmic approach to assist in the evaluation and management of the purple digit.

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“…Systemic symptoms often accompany the onset of these lesions. [2] We report here a patient diagnosed with moderate depressive episode with somatic syndrome (International Classification of Diseases (ICD)-10) who presented with psychogenic purpura because of the rarity of the condition and to emphasize the importance of consideration of this entity during evaluation of a patient with recurrent ecchymoses.…”

Section: Introductionmentioning

confidence: 99%

Psychogenic purpura

Sarkar

Ghosh²,

Bandyopadhyay³

et al. 2013

Indian J Psychiatry

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Psychogenic purpura, also known as Gardner-Diamond syndrome, is a rare, distinctive, localized cutaneous reaction pattern mostly affecting psychologically disturbed adult women. Repeated crops of tender, ill-defined ecchymotic lesions on the extremities and external bleeding from other sites characterize the condition. We report here a case of psychogenic purpura because of the rarity of the condition and to emphasize the importance of consideration of this entity during evaluation of a patient with recurrent ecchymoses. Early diagnosis of this condition will not only minimize the cost of the medical evaluation but will also benefit the patient.

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Autoerythrocyte sensitization syndrome (psychogenic purpura)

Cited by 25 publications

References 15 publications

Gardner-Diamond syndrome: case report

Gardner-Diamond syndrome: case report

The Purple Digit

Psychogenic purpura

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