[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.
Jin
Ling-Juan
LJ
Department of Hematology, PLA 100th Hospital, Suzhou 215006, China.
Chen
Hai-Fei
HF
Wu
Tian-Qin
TQ
Tang
Jie-Qing
JQ
Shen
Hong-Shi
HS
Li
Zheng-Yang
ZY
Zou
Ping
P
Yu
Zi-Qiang
ZQ
Wang
Zhao-Yue
ZY
D001760:Bleeding Time; D001780:Blood Coagulation Tests; D006801:Humans; D010974:Platelet Aggregation; D014842:von Willebrand Diseases; D014841:von Willebrand Factor
D014841:von Willebrand Factor