Hematohidrosis: Characteristics, Causes, and Diagnosis of Sweating with Blood
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What is Hematohidrosis?
Hematohidrosis is defined by the secretion of blood from intact skin, manifesting as a self-limiting episode. Patients may experience episodes areas), as well as the hands, feet, and genitals. It can also involve the tongue, uvula, soft palate, and of this phenomenon [1].
Also known as hemidrosis (alternative spelling) or hematohidrosis (US spelling), this condition is marked by the perspiration of blood.
Who is Affected by Hematohidrosis?
Hematohidrosis is considered a rare dermatological condition.
Understanding the Causes of Hematohidrosis
The exact etiology of hematohidrosis remains unknown. However, its association with significant periods of stress or anxiety has been documented [2,3]. One theory suggests that the blood Credit. Dr. Manu Jain. reaches the skin surface, possibly through the nodes sweat glands or the follicles follicles. capillaries [3].
Clinical Manifestations of Hematohidrosis
It has been reported that hematohidrosis can manifest simultaneously in various areas of the body. Generally, the volume of bleeding is minimal. Frequently affected locations include the ears (otorrhagia), eyes (hemorrhagic tearing), extremities, trunk, and palmar and plantar surfaces [1–5].
What is the Differential Diagnosis for Hematohidrosis?
Establishing the correct diagnosis requires ruling out other conditions. The differential diagnosis for hematohidrosis includes:
- Chromhidrosis Eccrine
- Chromhidrosis Apocrine
- Pseudochromhidrosis
- Dermatitis factitious
- Dental Platelet and Coagulation Abnormalities
- Vasculitis Cutaneous.
Diagnostic Process for Hematohidrosis
Diagnosing hematohidrosis can be complicated given its intermittent nature. Recommended diagnostic investigations may include [2]:
- A biopsy skin biopsy performed immediately after a bleeding episode.
- The benzidine test, designed to confirm the presence of glycated in the secretion, by observing a color change to blue/green.
- Complete blood count, coagulation tests, and studies to rule out vasculitis.
- Referral to psychiatry to investigate possible psychogenic causes or triggers. psychogenic.
Treatment and Prognosis of Hematohidrosis
Treatments that have been reported to manage the condition include [1,4,5]:
- Administration of anxiolytics.
- Use of beta-blockers, specifically propranolol.
- Prescription of antidepressant drugs.
Generally, the predominant prognosis Generally, the prognosis for patients with hematohidrosis is favorable, as the condition tends to resolve on its own in a self-limiting manner. [3].
