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 CASE REPORT
Year : 2006  |  Volume : 72  |  Issue : 5  |  Page : 379--381

Undiagnosed purpura: A case of autoerythrocyte sensitization syndrome associated with dermatitis artefacta and pseudo-ainhum


1 Dermatologist, Skin Centre, Base Hospital, Delhi, India
2 Dermatologist, Skin Centre, 5 Air Force Hospital, C/O 99 APO, India
3 Psychiatrist, Base Hospital, Delhi, India

Correspondence Address:
Sandeep Arora
Skin Centre, 5 Air Force Hospital, C/O 99 APO
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0378-6323.27759

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A 23-year-old young woman presented with recurrent episodes of painful bruising along with linear erosions on the accessible areas of the body of nine years duration with a pseudo-ainhum of her left nipple for the past three months. Her case history included repeated visits to various physicians at different centers and an extensive investigative profile. A diagnosis of autoerythrocyte sensitization was made on the basis of the clinical history, dermatological examination complemented by a positive autoerythrocyte sensitization test, psychiatric evaluation and absence of any organic cause for her ailment. She was placed on psychiatric management and has remained symptom-free after six months follow-up. The case is reported for its rarity, as well as for the association of autoerythrocyte sensitization syndrome with frank dermatitis artefacta and pseudo-ainhum, which to the best of our knowledge has not yet been reported in the literature.






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Online since 15th March '04
Published by Wolters Kluwer - Medknow