A propósito de un caso: “la niña que suda sangre: un raro caso de hematohidrosis”
Date
Subject
Hematohidrosis
bleeding
stress
fibrinogen
Von Willebrand
hematohidrosis
sangrado
estrés
fibrinógeno
Von Willebrand
bleeding
stress
fibrinogen
Von Willebrand
hematohidrosis
sangrado
estrés
fibrinógeno
Von Willebrand
Language:
Journal Title
Journal ISSN
Volume Title
Publisher
Intituto Tecnológico de Santo Domingo (INTEC)
Introducción: la hematohidrosis es una rara condición clínica donde el paciente exuda sangre.
Presentación de caso: se presenta el caso de una joven de 13 años, sin antecedentes mórbidos conocidos, que fue referida por Departamento de Hematología a Salud Mental por presentar cuadro de 7 meses de evolución, caracterizado por sangrado de oídos, ojos, boca, ombligo, cabeza, mamas y dedos, ocurriendo con más frecuencia cuando cursa con períodos menstruales.
Se le realizaron analíticas y estudios especializados que incluían hemograma, glicemia, perfil renal, hepático, virales, electrolitos, perfil tiroideo, uroanálisis, Factor VIII, factor VII, Factor de Von Willebrand, TP, TTP, INR, fibrinógeno y extendido de sangre periférica. Además, se realizó TAC de cráneo y radiografía de senos paranasales. Todas las pruebas estaban dentro de los parámetros de normalidad. Se inicia tratamiento con Hidroxicina 25 mg c/24 horas y clonazepam 2mg c/24 horas. Con el tratamiento farmacológico cedió el sangrado de la paciente.
Conclusión: el paciente fue diagnosticado con hematohidrosis, clínicamente, por exclusión. Actualmente no hay tratamiento disponible para esta condición. La etiología es desconocida hasta la fecha. El estrés se vincula como un factor precipitante.
Introduction: Hematohidrosis is a rare clinical condition where the patient exudes blood. Presentation: We present the case of a 13-year-old girl, with no known morbid history, who was referred by department of hematology to mental health for presenting a 7-month evolution, characterized by bleeding of ears, eyes, mouth, navel, head, breasts and fingers occurring more often when going through menstrual periods. Analyzes and specialized studies were performed that included hemogram, glycemia, renal, hepatic, viral, electrolyte, thyroid profile, uroanalysis, Factor VIII, factor VII, Von Willebrand factor, TP, TTP, INR, fibrinogen and peripheral blood smear. . In addition, a CT scan of the skull and x-ray of the paranasal sinuses was performed. All the tests were within normal parameters. Treatment was started with Hydroxyzine 25 mg every 24 hours and clonazepam 2mg every 24 hours. With the pharmacological treatment, the bleeding of the patient subsided. Conclusion: The patient was diagnosed with hematohidrosis clinically by exclusion. Currently, there is no treatment available for this condition. The etiology is unknown to date. Stress is linked as a precipitating factor.
Introduction: Hematohidrosis is a rare clinical condition where the patient exudes blood. Presentation: We present the case of a 13-year-old girl, with no known morbid history, who was referred by department of hematology to mental health for presenting a 7-month evolution, characterized by bleeding of ears, eyes, mouth, navel, head, breasts and fingers occurring more often when going through menstrual periods. Analyzes and specialized studies were performed that included hemogram, glycemia, renal, hepatic, viral, electrolyte, thyroid profile, uroanalysis, Factor VIII, factor VII, Von Willebrand factor, TP, TTP, INR, fibrinogen and peripheral blood smear. . In addition, a CT scan of the skull and x-ray of the paranasal sinuses was performed. All the tests were within normal parameters. Treatment was started with Hydroxyzine 25 mg every 24 hours and clonazepam 2mg every 24 hours. With the pharmacological treatment, the bleeding of the patient subsided. Conclusion: The patient was diagnosed with hematohidrosis clinically by exclusion. Currently, there is no treatment available for this condition. The etiology is unknown to date. Stress is linked as a precipitating factor.
Description
Type
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/publishedVersion
Source
Science and Health; Vol 3 No 2 (2019): Science and Health, may-August; 65-69
Ciencia y Salud; Vol. 3 Núm. 2 (2019): Ciencia y Salud, mayo-agosto; 65-69
2613-8824
2613-8816
10.22206/cysa.2019.v3i2
Ciencia y Salud; Vol. 3 Núm. 2 (2019): Ciencia y Salud, mayo-agosto; 65-69
2613-8824
2613-8816
10.22206/cysa.2019.v3i2