Painful-Bruising-Syndrom

Zusammenfassung

Vorgestellt wird ein 54-jähriger Patient mit den typischen Charakteristika des Painful-Bruising-Syndroms. Die Ätiopathogenese dieses Syndroms ist bislang unklar, für die Entwicklung der Hautveränderungen scheint jedoch eine artifizielle Komponente entscheidend zu sein.

Abstract

A 54-year old anorectic patient with painful bruising syndrome (Gardner-Diamond syndrome) suffered from various gastrointestinal and psychologic complaints. The episodes of painful bruising could be provoked following intradermal injection of washed red blood cells within 96 h. The pathogenesis of this rare entity is more likely due to a psychiatric alteration rather than to the immunological mechanisms, as had been postulated two decades ago. Nevertheless, the Gardner-Diamond-syndrome should be included in the differential diagnosis of ecchymotic bleeding.