Blood otorrhea: Blood stained sweaty ear discharges: Hematohidrosis; four case series (2001–2013)

Tshifularo, Mashudu

doi:10.1016/j.amjoto.2013.09.006

Cited by 30 publications

(41 citation statements)

References 5 publications

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“…Intense stress and emotion, in general, seem to induce a sympathetic response of the autonomic nervous system, responsible for the vascular mechanisms behind hematidrosis . Anxiety and fear were retained as the most frequent eliciting emotions .…”

Section: Psychiatric Aspects Of Stigmatamentioning

confidence: 98%

“…The works of Ratnoff et al ., maybe the most solid data concerning psychogenic purpura, further ascertain that stigmata frequently happen in highly suggestible individuals with histrionic personalities and that the bleedings can be triggered through hypnosis . Aside from severe stress, episodes can be preceded by various aura‐like symptoms (e.g., tingling, soreness, tension headaches, or other types of pain) …”

Section: Psychiatric Aspects Of Stigmatamentioning

confidence: 99%

“…This can be applied to religious stigmata, since what has been referred to in the literature as the “state of ecstasy” during which the bleedings took place is a model of an exceedingly positive emotional activation . On the other hand, a certain number of stigmata have been reported to take place in the context of a clinically recognized mental disorder …”

Section: Psychiatric Aspects Of Stigmatamentioning

confidence: 99%

“…Tshifularo et al . presented four cases of stigmata in patients aged between 18 and 34, all of them exhibiting severe mental stresses at the time of bleeding . As a matter of fact, anxiolytics but also psychotherapy have been proven effective in reducing symptom occurrence .…”

Section: Psychiatric Aspects Of Stigmatamentioning

confidence: 99%

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Religious stigmata: a dermato‐psychiatric approach and differential diagnosis

et al. 2018

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Section: Psychiatric Aspects Of Stigmatamentioning

confidence: 98%

Section: Psychiatric Aspects Of Stigmatamentioning

confidence: 99%

Section: Psychiatric Aspects Of Stigmatamentioning

confidence: 99%

Section: Psychiatric Aspects Of Stigmatamentioning

confidence: 99%

See 2 more Smart Citations

Religious stigmata: a dermato‐psychiatric approach and differential diagnosis

et al. 2018

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“…This is a spontaneous painless bleeding through an unbroken skin in any part of the body. 1 Blood sweating is called haematohidrosis, while true bleeding occurs in bleeding disorders. 2 Migliorini described a case of hematohidrosis, which is otorrhoea with otoerythrosis.…”

Section: Introductionmentioning

confidence: 99%

Spontaneous ear nose throat bleed: hematohidrosis an unknown entity series of eight cases

Jagannathan

Rajasekar

Mathivanan

et al. 2016

Int J Otorhinolaryngol Head Neck Surg

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Background: Spontaneous bleed from ear, nose, throat is a rare condition called as hematohidrosis, which occurs under condition of extreme physical or emotional stress. This condition manifests as spontaneous painless bleeding through unbroken skin in any part of the body. It is self-limiting in nature. This condition is relatively unaware among otorhinolaryngologists, the diagnosis of which is made by presence of bloody discharge without any obvious cause through intact skin, witnessed and confirmed by a health professional and the presence of blood components on biochemical analysis.Methods: Retrospective analysis of series of eight cases. Results: All eight cases had normal haematological parameters and were under emotional stress. Two cases manifested with oral bleed.Conclusions: Hematohidrosis is relatively unknown condition to the otorhinolaryngologists and the cases are occurring sporadically which goes unnoticed. This condition occurs in severe stress which may also lead to ear, nose, oral, gastrointestinal bleeds or in combination from any of the sites with a relation of severity of stress level with quantity and site of the bleeding episodes. The condition can be managed effectively if the condition is recognized after ruling out bleeding diathesis. If awareness is created about this clinical condition which is relatively unknown entity, it will lead to further insight on evaluation and management of this rare entity probably an exocrine disorder.

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Hemolacria secondary to major depressive disorder and generalized anxiety disorder: A case report

Razeghian Jahromi,

Ghaderian Jahromi,

Ghavipisheh

et al. 2023

Clinical Case Reports

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Key Clinical MessageHemolacria can occur on the basis of a psychiatric disorder without an organic cause. However, this should be a diagnosis of exclusion. Treatment of the underlying psychiatric illness may relieve this condition.AbstractA 24‐year‐old man presented with the chief complaint of bloody tears, which began 4 months earlier after commencing mandatory military service. He had no underlying diseases, and all work‐ups returned normal, though a microscopic examination confirmed red blood cells. He was diagnosed with hemolacria secondary to generalized anxiety disorder and major depressive disorder, responding to propranolol and sertraline. Hemolacria was totally cured after 6 months of treating the underlying psychiatric illness.

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Blood otorrhea: Blood stained sweaty ear discharges: Hematohidrosis; four case series (2001–2013)

Cited by 30 publications

References 5 publications

Religious stigmata: a dermato‐psychiatric approach and differential diagnosis

Religious stigmata: a dermato‐psychiatric approach and differential diagnosis

Spontaneous ear nose throat bleed: hematohidrosis an unknown entity series of eight cases

Hemolacria secondary to major depressive disorder and generalized anxiety disorder: A case report

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