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ISSN 1684-1824 (Electronic)

2019, Number 4

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Rev Méd Electrón 2019; 41 (4)

Gardner-Diamond syndrome: A case report

Suárez PR, Sangroni VT, Jiménez DM, González LJ, Massuet BJL, García GD

Language: Portugués
References: 10
Page: 993-1002
PDF size: 1336.20 Kb.


ABSTRACT

The Gardner-Diamond syndrome, also known as psychogenetic purpura or erythrocyte autosensitization syndrome is very few frequent. The case of a white patient aged 50 years is presented. He entered the Service of Internal Medicine of the Teaching Clinic-surgical Hospital “Faustino Pérez Hernández” because of an acute fever syndrome, holocraneal headache, epistaxis and haemolacria. At the physical examination it was stated the flow of tears with blood, through the internal angle of both eyes and epistaxis. The intradermal injection of 0.1 ml of autologous blood in the left thigh dorsal side did not induce an ecchymotic reaction. The injection of 0.1 ml of 0.9 % saline solution as control in the contralateral side was negative. On the basis of the clinical examination and other tests, the authors arrived to the conclusion it is a Gardner-Diamond syndrome. This infrequent disease should be considered in the differential diagnosis of a purpuric syndrome of non-good précised etiology, mainly in patients with psychiatric problems.


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