A case of psychogenic purpura in a female child.
Recurrent spontaneous cutaneous bruising or bleeding through intact skin may be due to underlying emotional stress which may be due to auto-erythrocyte sensitisation. A 9-year-old female child presented with recurrent episodes of oozing from the skin of both lower eyelids and lower peri-orbital areas along with bleeding from tongue which ceased spontaneously after a few minutes without having any induration or oedema at the sites. The child had no systemic abormality, but she was nervous and attention seeking. Psychologic assessment revealed that she was suffering from conversion anxiety and somatoform disorder. After twelve psychotherapeutic sessions she showed marked improvement and her symptoms did not recur.
Datta
Sumana
S
Department of Paediatric Medicine, Calcutta National Medical College, Kolkata.
Datta
Himadri
H
Kapoor
Sarala
S
D002648:Child; D003291:Conversion Disorder / Q000473:pathology* / Q000628:therapy; D005145:Face; D005260:Female; D006801:Humans; D011693:Purpura / Q000523:psychology*