A case series of hematohidrosis: A puzzling medical phenomenon

Abstract

Hematohidrosis (bloody sweat), also known as hematidrosis, is a rare clinicalentity characterized by recurrent, spontaneous, self-limited episodes of bloodoozing from intact skin or mucosa that are witnessed by medical personnel.We hereby report three healthy children with the history of recurrent episodesof bleeding from the intact skin over their various parts of the body. Mostof these bleeding episodes occurred after stressful situations. On the basisof clinical presentation and normal investigation, they were diagnosed withhematohidrosis. We treated them with non-specific beta-blocker (propranolol).Follow-up observation of these patients demonstrated marked diminish in thefrequency and severity of their episodes. In spite of the rarity of hematohidrosis,it should be considered as a differential diagnosis of bleeding episodes inpatients with normal physical and laboratory investigations.