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CASE REPORT
Year : 2020  |  Volume : 26  |  Issue : 2  |  Page : 99-102

Hematohidrosis: Reports and update of clinically mysterious phenomenon


1 Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, Sohag University, Sohag, Egypt
2 Department of Internal Medicine, Division of Hematology, Faculty of Medicine, Sohag University, Sohag, Egypt
3 Department of Radiology, Faculty of Medicine, Sohag University, Sohag, Egypt

Correspondence Address:
Dr. Mahmoud I Elbadry
Department of Internal Medicine, Division of Hematology, Faculty of Medicine, Sohag University, Nasr City, Eastern Avenue, University Street, Sohag
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/indianjotol.INDIANJOTOL_135_19

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Hematohidrosis is a mysterious and rare disorder characterized by one or more attacks of spontaneous, bloody sweating from intact surfaces of skin and/or mucous membranes. In the current literature, we faced a case of a 16-year old female who presented with recurrent attacks of right-sided bloody otorrhea upon exposure to extreme stress and anxiety. The patient had no history of bleeding disorders, trauma, or drug intake. Ear examination was completely normal with intact skin and tympanic membrane. All bloody investigations of the patient were within the normal range. The outcome was favorable in this case with medical treatment (beta-blocker and anxiolytics) and psychological support. In this article, we highlight with a detailed description of clinical characteristics and treatment options of this disease, followed by a review of the possible pathophysiological mechanisms. Our case together with previous reports should raise awareness of hematohidrosis occurrence, especially among ENT patients.


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