A 15-year-old girl was referred to our hospital in 2015 with a 3-month history of spontaneous mucocutaneous bleeding. Her clinical history showed she had suffered from a major stressful event (Abruzzo earthquake in 2006). Initially the bleeding was sporadic, clear and localised to the eyelids, but after a few weeks became darker, more frequent and widespread (figure 1). Before and after the episodes, no signs of wounds or scrapes were observed. The episodes were usually asymptomatic. Sometimes headaches and asthaenia preceded the bleeding. Diagnosis of haematidrosis was clinically established and a treatment with a non-selective -blocker (propranolol) at a dose of 10 mg, every 12 hours, was started. Although the number of episodes reduced, 1–2 hours before the propranolol administration, some bleeding was still observed. Therefore the patient was treated with propranolol every 8 hours, and a complete disease resolution was observed during the follow-up.
Haematohidrosis treated with propranolol: A case report / Ricci, Franco*; Oranges, Teresa; Novembre, Elio; Della Bona, Maria Luisa; La Marca, Giancarlo; De Martino, Maurizio; Filippi, Luca. - In: ARCHIVES OF DISEASE IN CHILDHOOD. - ISSN 0003-9888. - ELETTRONICO. - 104:2(2019), pp. 171-171. [10.1136/archdischild-2017-314170]
Haematohidrosis treated with propranolol: A case report
Ricci, Franco;Oranges, Teresa;Novembre, Elio;La Marca, Giancarlo;De Martino, Maurizio;Filippi, Luca
2019
Abstract
A 15-year-old girl was referred to our hospital in 2015 with a 3-month history of spontaneous mucocutaneous bleeding. Her clinical history showed she had suffered from a major stressful event (Abruzzo earthquake in 2006). Initially the bleeding was sporadic, clear and localised to the eyelids, but after a few weeks became darker, more frequent and widespread (figure 1). Before and after the episodes, no signs of wounds or scrapes were observed. The episodes were usually asymptomatic. Sometimes headaches and asthaenia preceded the bleeding. Diagnosis of haematidrosis was clinically established and a treatment with a non-selective -blocker (propranolol) at a dose of 10 mg, every 12 hours, was started. Although the number of episodes reduced, 1–2 hours before the propranolol administration, some bleeding was still observed. Therefore the patient was treated with propranolol every 8 hours, and a complete disease resolution was observed during the follow-up.File | Dimensione | Formato | |
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