ABSTRACT

A 12-year-old boy presented with a 1-year history of episodes of spontaneous bleeding from multiple sites lasting for a few minutes. His medical history was unremarkable and all the episodes of bleeding began after he was separated from his aunt to whom he was very much attached. She had moved out of their home following her marriage. All haematological investigations were normal. He was diagnosed with haematohidrosis secondary to adjustment disorder, and behavioural therapy was advised and propranolol prescribed. At present he is asymptomatic and on regular follow-up.

Explanations of terms used in the text: Adjustment disorder: maladaptive response to a psychosocial stressor in an individual with significant difficulty coping with a stressful psychosocial event; anxiolytics: medication that reduces anxiety; chromohydrosis: secretion of coloured sweat; haematochezia: passage of fresh blood through the anus, usually in or with stools; haematohidrosis: sweating blood; oto-erythrosis: spontaneous bleeding from the ear; otorrhagia: haemorrhage from the ear; vicarious menstruation: cyclical bleeding outside the uterine cavity during the menstrual cycle.

摘要

一名 12 岁男孩，因多处自发性出血发作 1 年，持续数分钟就诊。他的病史并不显着，所有出血事件都是在他与他非常依恋的阿姨分开后开始的。结婚后，她搬出了他们的家。所有血液学检查均正常。他被诊断为继发于适应障碍的血汗症，建议进行行为治疗并开具普萘洛尔。目前他没有症状，正在定期随访。

文中所用术语的解释： 适应障碍：个体对心理社会压力源的适应不良反应，难以应对压力性社会心理事件；抗焦虑药：减轻焦虑的药物；色素沉着症：有色汗液的分泌；便血：新鲜血液通过肛门，通常在粪便中或粪便中；血汗症：出汗血液; 耳红斑病：耳朵自发性出血；耳出血：耳朵出血；替代性月经：月经周期中子宫腔外的周期性出血。