Abstract

Hematohidrosis is a rare condition in which an individual sweats blood from intact, unbroken skin. The aetiology of hematohidrosis is not clear, although various theories exist to explain such a phenomenon. The general consensus however in the literature relates the finding to dermal capillary blood vessels that rupture under extreme emotional or physical stress exuding blood through the skin. In this case report we disclose a case of 12-year-old girl who presented with unusual painless bleeding from her face, eye, and tear duct. The condition was investigated intensively during hospital admission for a cause, and no actual cause was speculated. The management mostly involved supportive care and medical advice.

Highlights

  • Hematohidrosis is a rare condition in which an individual sweats blood from intact, unbroken skin

  • The general consensus in the literature relates the finding to dermal capillary blood vessels that rupture under extreme emotional or physical stress exuding blood through the skin. In this case report we disclose a case of 12-year-old girl who presented with unusual painless bleeding from her face, eye, and tear duct

  • A 12-year-old girl was admitted to the hospital as a case of unusual painless bleeding from the left side of the face (Figure 1), left eye, and tear duct of two-week duration

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Summary

Case Presentation

A 12-year-old girl was admitted to the hospital as a case of unusual painless bleeding from the left side of the face (Figure 1), left eye, and tear duct of two-week duration. Patient denied fever, runny itchy nose, nasal discharge, red or painful eye, shortness of breath, cough, chest pain, palpitations, rash, joint pain, mouth ulcers, bleeding PR/urine, menorrhagia, abdominal pain or change in bowel habits, anorexia/recent weight lose, sensory loss or weakness, and lumps or bumps or lymphadenopathy. Her physical examination was unremarkable, except for right nasal septum deviation, enlarged adenoids, hypertrophied. There are no family histories of such events of spontaneous bleeding amongst close relatives

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