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International Journal of Hematology

, Volume 78, Issue 2, pp 146–148 | Cite as

Fatality Caused by Self-Bloodletting in a Patient with Factitious Anemia

  • Yasuo Hirayama
  • Sumio Sakamaki
  • Yasushi Tsuji
  • Tamotsu Sagawa
  • Norihiro Takayanagi
  • Hiroki Chiba
  • Takuya Matsunaga
  • Junji Kato
  • Yoshiro Niitsu
Case Report

Abstract

Death by bloodletting among patients with factitious anemia has never been reported to our knowledge.We report the first known case. A 25-year-old woman with severe iron deficiency anemia confessed her habit of bloodletting at her first visit to our hospital, in March 1998.We prescribed oral iron and referred her to a psychiatrist.The diagnosis was borderline personality disorder. The psychiatrist began counseling the patient and prescribed a major tranquilizer. The patient’s method of bloodletting was to insert an 18-gauge needle without syringe into her vein after inducing congestion in her arm. This method was considered to involve risk of death, because once the patient fell into a faint caused by blood loss, the bloodletting could not be stopped. Although we attempted to persuade the patient to stop bloodletting by this method, she died after self-bloodletting in September 1999. It is not known whether the death was intentional suicide or an accident.

Key words

Borderline personality disorder 

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Copyright information

© The Japanese Society of Hematology 2003

Authors and Affiliations

  • Yasuo Hirayama
    • 1
  • Sumio Sakamaki
    • 1
  • Yasushi Tsuji
    • 1
  • Tamotsu Sagawa
    • 2
  • Norihiro Takayanagi
    • 1
  • Hiroki Chiba
    • 2
  • Takuya Matsunaga
    • 2
  • Junji Kato
    • 2
  • Yoshiro Niitsu
    • 2
  1. 1.Department of Internal MedicineHigashi Sapporo HospitalSapporoJapan
  2. 2.4th Department of Internal MedicineSapporo Medical University School of MedicineSapporoJapan

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