Synchronous genital and facial hematidrosis in an adult female: The first case report in Egypt.

Abstract

Background: Hematohidrosis, also known as hematidrosis or bloody sweat. It is a rare condition manifested by sweaty spotty bleeding out of the skin and mucous membranes . Apart from sporadic case reports from around the world there is a lack of formal study that describe the exact incidence. There is uncertainty of the etiopathogenesis. However rupture of the capillary ramification around the sweat glands due to severe physical or mental stress has been proposed as an explanation, in addition to some other disorders as systemic disease and vicarious menstruation. Diagnosis is being confirmed by testing the secretions for blood components. Case presentation: Herein, we report a case of hematohidrosis in a-28‑year‑old female with repeated episodes of bloody sweating from all over the face, the genitalia and the fingertips that has been responding to propranolol and topical timolol. Conclusion: Being a rare disorder, the diagnosis is substantially dependent on high clinical suspicion and physician awareness, which is of paramount importance in patient\'s assurance that helps in alleviation of psychological stress. We assume that sympathetic overactivity is pivotal in provoking these events, and that beta blockers might be effective treatment.