Painful bruising syndrome
| Painful bruising syndrome | |
| DiseasesDB | 31475 |
|---|---|
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]
Overview
Painful bruising syndrome (also known as "Autoerythrocyte sensitization," "Gardner–Diamond syndrome," and "Psychogenic purpura") is an idiopathic trauma-induced condition seen in young to middle-aged women who sometimes manifest personality disorders.[1]:829. It is characterized by a distinctive localized purpuric reaction occurring primarily on the legs, face and trunk, with recurring painful ecchymoses variably accompanied by syncope, nausea, vomiting, gastrointestinal and intracranial bleeding.[2]
Patients with autoerythrocyte sensitization can suffer frequent painful bruising around joints and muscles. Because of the rarity of the disorder, there are few methods of support in place for patients. Many patients are labelled with the stigma of having a psychological condition without this having a specifically proven link. There have been cases of painful bruising syndrome reported where there are no additional psychological disorders.
It was characterized in 1955.[3][4]
Physical Examination
Skin
Extremity
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![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/images/5/59/Painful_bruising_syndrome01.jpg)
Painful bruising syndrome. Adapted from Dermatology Atlas.[5]
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![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/images/d/d3/Painful_bruising_syndrome02.jpg)
Painful bruising syndrome. Adapted from Dermatology Atlas.[5]
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![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/images/a/a4/Painful_bruising_syndrome03.jpg)
Painful bruising syndrome. Adapted from Dermatology Atlas.[5]
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![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/images/d/db/Painful_bruising_syndrome04.jpg)
Painful bruising syndrome. Adapted from Dermatology Atlas.[5]
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![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/images/6/6a/Painful_bruising_syndrome05.jpg)
Painful bruising syndrome. Adapted from Dermatology Atlas.[5]
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![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/images/7/7e/Painful_bruising_syndrome06.jpg)
Painful bruising syndrome. Adapted from Dermatology Atlas.[5]
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![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/images/3/3c/Painful_bruising_syndrome07.jpg)
Painful bruising syndrome. Adapted from Dermatology Atlas.[5]
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![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/images/0/0d/Painful_bruising_syndrome08.jpg)
Painful bruising syndrome. Adapted from Dermatology Atlas.[5]
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![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/images/c/c5/Painful_bruising_syndrome09.jpg)
Painful bruising syndrome. Adapted from Dermatology Atlas.[5]
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![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/images/4/44/Painful_bruising_syndrome10.jpg)
Painful bruising syndrome. Adapted from Dermatology Atlas.[5]
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![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/images/1/11/Painful_bruising_syndrome11.jpg)
Painful bruising syndrome. Adapted from Dermatology Atlas.[5]
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![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/images/3/3f/Painful_bruising_syndrome12.jpg)
Painful bruising syndrome. Adapted from Dermatology Atlas.[5]
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![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/images/7/78/Painful_bruising_syndrome13.jpg)
Painful bruising syndrome. Adapted from Dermatology Atlas.[5]
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![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/images/a/aa/Painful_bruising_syndrome14.jpg)
Painful bruising syndrome. Adapted from Dermatology Atlas.[5]
![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/index.php/File:Painful_bruising_syndrome01.jpg)
![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/index.php/File:Painful_bruising_syndrome02.jpg)
![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/index.php/File:Painful_bruising_syndrome03.jpg)
![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/index.php/File:Painful_bruising_syndrome04.jpg)
![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/index.php/File:Painful_bruising_syndrome05.jpg)
![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/index.php/File:Painful_bruising_syndrome06.jpg)
![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/index.php/File:Painful_bruising_syndrome07.jpg)
![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/index.php/File:Painful_bruising_syndrome08.jpg)
![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/index.php/File:Painful_bruising_syndrome09.jpg)
![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/index.php/File:Painful_bruising_syndrome10.jpg)
![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/index.php/File:Painful_bruising_syndrome11.jpg)
![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/index.php/File:Painful_bruising_syndrome12.jpg)
![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/index.php/File:Painful_bruising_syndrome13.jpg)
![Painful bruising syndrome. Adapted from Dermatology Atlas.[5]](/index.php/File:Painful_bruising_syndrome14.jpg)
See also
References
- ↑ James, William D.; Berger, Timothy G.; et al. (2006). Andrews' Diseases of the Skin: clinical Dermatology. Saunders Elsevier. ISBN 0-7216-2921-0.
- ↑ Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. ISBN 1-4160-2999-0.
- ↑ Template:WhoNamedIt
- ↑ GARDNER FH, DIAMOND LK (July 1955). "Autoerythrocyte sensitization; a form of purpura producing painful bruising following autosensitization to red blood cells in certain women". Blood. 10 (7): 675–90. PMID 14389381.
- ↑ 5.00 5.01 5.02 5.03 5.04 5.05 5.06 5.07 5.08 5.09 5.10 5.11 5.12 5.13 "Dermatology Atlas".