[Pathology, diagnosis and treatment of a patient with hemotidrosis.].
OBJECTIVE
To investigate the pathology, diagnosis and treatment of a patient with hemotidrosis.


METHODS
Coagulation tests, coagulation factor activities, von Willebrand factor concentration, bleeding time and platelet aggregation were measured. The bloody exudates from the skin was examined under light microscopy. The involved skin area biopsy was examined histologically.


RESULTS
The bloody exudates contained all kinds of normal blood cells mixed with sweat-like fluid, rather than true-sweat. Histopathologic examination showed normal sweat gland structure without blood cells. The patient was successfully treated with propranolol.


CONCLUSIONS
Sympathetic nerve activation in the vasculature might play a role in hemotidrasis, and beta-blockers might be an effective drug for treatment.
Department of Hematology, PLA 100th Hospital, Suzhou 215006, China.
Ling-Juan
LJ
Jin
Hai-Fei
HF
Chen
Tian-Qin
TQ
Wu
Jie-Qing
JQ
Tang
Hong-Shi
HS
Shen
Zheng-Yang
ZY
Li
Ping
P
Zou
Zi-Qiang
ZQ
Yu
Zhao-Yue
ZY
Wang
D001760:Bleeding Time; D001780:Blood Coagulation Tests; D006801:Humans; D010974:Platelet Aggregation; D014842:von Willebrand Diseases; D014841:von Willebrand Factor
D014841:von Willebrand Factor