Religious stigmata: a dermato‐psychiatric approach and differential diagnosis

Kechichian, Elio; Khoury, Elie; Richa, Sami; Tomb, Roland

doi:10.1111/ijd.13971

Cited by 15 publications

(12 citation statements)

References 39 publications

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“…The diagnosis of hematidrosis could be made by recurrent, spontaneous and self-limited bleeding which is witnessed by medical personnel, and by identifying all blood components in the bleeding samples leaking from intact skin and mucous membrane without any lesion observed [4]. Hematidrosis affects more females than males, usually with an onset in adolescence [1,3]. Our series case was consistent with this depiction.…”

Section: Discussionsupporting

confidence: 82%

“…We rst successfully treated a patient with b-receptor blocker propranolol, as we speculated that sympathetic nerve activation might play a role in her episodes [18]. This treatment method has been used by many other researchers, but its e ciency could be limited, and relapses occured in some cases after the drug withdrawal [1,3,8,23]. Again our seven patients did not completely response to propranolol.…”

Section: Discussionmentioning

confidence: 89%

“…Hematidrosis (ICD 10 2016 diagnosis code L74.8) was, at the outset, considered religious stigmata appearing in saints and priests [1], similar to the ones in icted on the Christ during his cruci xion (New Testament. Luke 22:44).…”

Section: Introductionmentioning

confidence: 99%

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Hematidrosis: Pathophysiology and Therapeutic Strategy

Wang¹,

Yin²,

Yu³

et al. 2021

Preprint

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Background: Hematidrosis is an extremely rare and mysterious disorder. The etiology and pathophysiology of this disorder remain mostly unknown, and there is no specific therapeutic strategy available up to now.Methods: The clinical features, hemostatic and other laboratory tests, and bloody exudates of seven patients were investigated, and histologic examination of the affected skin was performed. They were treated with a new therapeutic regimen. Results: The bleeding episodes could appear under different conditions, but often following physical or emotional stress, with some prodromes. The frequency and amount of bleeding varied with each individual. The effluent bloody samples showed all the components of the peripheral blood, mingled with a few epithelial cells. Histologic examination of the affected skin showed normal sweat glands containing no blood. Each of patients was treated individually, and a multi-drug "cocktail therapy" regimen mainly consisting of beta-receptor blocker, anxiolytic, and histamine H1/H2 receptor antagonists proved successful. Although most patients could relapse within 6 to 12 months, the treatment was still effective and they were finally cured. Conclusion: nervous system-hypothalamus-autonomic nervous system pathway in association with histaminergic activation. A multi-drug "cocktail therapy" in accordance to this hypothesis would become a new effective regimen.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 89%

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Hematidrosis: Pathophysiology and Therapeutic Strategy

Wang¹,

Yin²,

Yu³

et al. 2021

Preprint

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“…Haematidrosis in humans is a rare phenomenon, with multiple causes and triggering factors and with an ill-defined pathogenesis that is clinically characterised by episodic, nontraumatic, bloody sweating [1][2][3][4][5]. To the best of our knowledge, a similar phenomenon in animals has not yet been described, with the only exception some anecdotal reports of haematidrosis in horses with infectious anaemia, purpura haemorrhagica and other bleeding disorders [6] and well-documented cases of bovine neonatal pancytopenia [7].…”

Section: Introductionmentioning

confidence: 99%

Excitement-Induced Cutaneous Bleeding (Haematidrosis-like) in a Dog

Sofou

Gavra

Saridomichelakis

2021

Veterinary Sciences

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A 15-month-old intact female Pitbull was referred because of recurrent, episodic, self-limiting, excitement-induced bleeding from nontraumatised skin. No abnormalities were detected upon physical examination. Subsequently, the dog went for a walk under the direct supervision of one of the authors, became overexcited and, after approximately five minutes, bloody liquid, with a patchy distribution, appeared along the hair shafts of the face and neck. The affected skin was congested, partially blanching on diascopy and bloody liquid was oozing from the follicular openings. Urticaria, dermographism and hypertension were excluded, the complete blood count and coagulation profile were within the reference ranges and an analysis of the bloody exudate confirmed its blood components. The cutaneous bleeding of the dog followed a self-limited course, with no episodes during the last two years. Clinical and laboratory findings and the long-term evolution of this dog bear striking similarities to haematidrosis, a rare human disease of multifactorial aetiology and equivocal pathogenesis.

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“…Muito embora a mística se encontre em declínio, as pessoas marcadas pelos estigmas de Cristo continuam a nos fascinar (Luzzatto, 2007;Menétrey-Monchau, 2010;Kechichian, Khoury, Richa & Tomb, 2018). As feridas nos pés, mãos, testa e lados do corpo são famosas por serem sobrenaturais: elas transpiram de acordo com o ciclo litúrgico da Paixão de Cristo para cicatrizarem instantaneamente ou então persistirem, na ausência de supuração e de putrefação.…”

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Os estigmas da Paixão de Cristo: dois casos de invenção ou de impostura mística

Hamon¹

2019

Rev. latinoam. psicopatol. fundam.

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1 Tradução de Mila Signorelli. * 2 Université Rennes (Rennes, França). Apesar da rarefação de casos de estigmatização cristã, o interesse por esse fenômeno corporal insólito perdura. Um estudo dos casos Madeleine Lebouc e Yvonne-Aimée de Jesus revela que seus estigmas derivam ou de uma automutilação ou de uma farsa. No entanto, este não é o ponto essencial. Mais frutífera ainda mostra-se a pesquisa focada nesse modo original de relação do sujeito a seu corpo, e principalmente por que ele se sustenta em uma relação mística com Jesus. Orientando-se pela teoria freudiana e lacaniana, o presente artigo demonstra, a partir da clínica, as duas funções principais dos estigmas para esses dois sujeitos, a saber: o tratamento de um gozo louco pertencente ao corpo próprio e a emergência de um processo de representação permitindo assumi-lo e tratá-lo.

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Religious stigmata: a dermato‐psychiatric approach and differential diagnosis

Abstract: Stigma remains an example of the intricate relationships existing between medicine, psychiatry, psychology, spirituality, and the human body.

Cited by 15 publications

References 39 publications

Hematidrosis: Pathophysiology and Therapeutic Strategy

Hematidrosis: Pathophysiology and Therapeutic Strategy

Excitement-Induced Cutaneous Bleeding (Haematidrosis-like) in a Dog

Os estigmas da Paixão de Cristo: dois casos de invenção ou de impostura mística

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