title: [Painful bruising syndrome].
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.
authors.affiliation: Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie, Universtätsklinikum Essen, Hufelandstrasse 55, 45122 Essen.
authors.forename: C
authors.initials: C
authors.lastname: Behrendt
authors.forename: M
authors.initials: M
authors.lastname: Goos
authors.forename: H
authors.initials: H
authors.lastname: Thiel
authors.forename: U R
authors.initials: UR
authors.lastname: Hengge
mesh_terms: D000855:Anorexia / Q000150:complications; D003288:Contusions / Q000150:complications* / Q000175:diagnosis / Q000209:etiology / Q000276:immunology; D003937:Diagnosis, Differential; D004438:Ecchymosis / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology*; D013577:Syndrome