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Haematidrosis associated with epilepsy in a girl successfully treated with oxcarbazepine: case report.
J Int Med Res. 2015 Apr; 43(2):263-9.JI

Abstract

The aetiology and pathological mechanisms involved in the development of haematidrosis (bloody sweat) remain unclear. There is no specific treatment for this disorder. This case report describes the clinical manifestations and treatment of a 9-year-old female with haematidrosis associated with epilepsy. The diagnosis of haematidrosis was confirmed by medical personnel who observed the bleeding and were able to rule out other causes of the bloody exudate. The episodes of bleeding were spontaneous, transient, and self-limited. Smears of the bloody exudate contained all of the components of peripheral blood. A skin biopsy taken at one site of the bloody exudate was normal, showing no signs of blood extravasation or bleeding sweat glands. The bleeding events were found to be immediately preceded by tonic seizures. An electroencephalogram indicated cerebral parietooccipital epilepsy, which was characterized by an intermittent medium-high amplitude θ rhythm (5-7 Hz) with a few spikes. The symptoms of both epilepsy and haematidrosis resolved after treatment with the antiepileptic drug 150 mg oxcarbazepine, orally, twice a day, which suggests that the epileptic seizures triggered haematidrosis in this patient.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Department of Haematology, PLA 100th Hospital, Suzhou, Jiangsu Province, China.

Innovation Centre of Haematology and the Key Laboratory of Thrombosis and Haemostasis of the Ministry of Health, Jiangsu Institute of Haematology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China zwang11@sina.com.

Department of Haematology, PLA 100th Hospital, Suzhou, Jiangsu Province, China.

Department of Haematology, PLA 100th Hospital, Suzhou, Jiangsu Province, China.

Department of Haematology, PLA 100th Hospital, Suzhou, Jiangsu Province, China.

Department of Haematology, PLA 100th Hospital, Suzhou, Jiangsu Province, China.

Innovation Centre of Haematology and the Key Laboratory of Thrombosis and Haemostasis of the Ministry of Health, Jiangsu Institute of Haematology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China.

Department of Neurology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China.

MeSH

AnticonvulsantsCarbamazepineChildFemaleHemorrhageHumansOxcarbazepineSeizuresSweating

Pub Type(s)

Case Reports

Journal Article

Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25673645

Citation

Shen, Hongshi, et al. "Haematidrosis Associated With Epilepsy in a Girl Successfully Treated With Oxcarbazepine: Case Report." The Journal of International Medical Research, vol. 43, no. 2, 2015, pp. 263-9.

Shen H, Wang Z, Wu T, et al. Haematidrosis associated with epilepsy in a girl successfully treated with oxcarbazepine: case report. J Int Med Res. 2015;43(2):263-9.

Shen, H., Wang, Z., Wu, T., Wang, J., Ren, C., Chen, H., Yu, Z., & Don, W. (2015). Haematidrosis associated with epilepsy in a girl successfully treated with oxcarbazepine: case report. The Journal of International Medical Research, 43(2), 263-9. https://doi.org/10.1177/0300060514562488

Shen H, et al. Haematidrosis Associated With Epilepsy in a Girl Successfully Treated With Oxcarbazepine: Case Report. J Int Med Res. 2015;43(2):263-9. PubMed PMID: 25673645.

* Article titles in AMA citation format should be in sentence-case

TY - JOUR T1 - Haematidrosis associated with epilepsy in a girl successfully treated with oxcarbazepine: case report. AU - Shen,Hongshi, AU - Wang,Zhaoyue, AU - Wu,Tianqin, AU - Wang,Jing, AU - Ren,Chuanlu, AU - Chen,Haifei, AU - Yu,Ziqiang, AU - Don,Wanli, Y1 - 2015/02/11/ PY - 2015/2/13/entrez PY - 2015/2/13/pubmed PY - 2015/12/15/medline KW - Haematidrosis KW - bleeding KW - epilepsy KW - oxcarbazepine SP - 263 EP - 9 JF - The Journal of international medical research JO - J Int Med Res VL - 43 IS - 2 N2 - The aetiology and pathological mechanisms involved in the development of haematidrosis (bloody sweat) remain unclear. There is no specific treatment for this disorder. This case report describes the clinical manifestations and treatment of a 9-year-old female with haematidrosis associated with epilepsy. The diagnosis of haematidrosis was confirmed by medical personnel who observed the bleeding and were able to rule out other causes of the bloody exudate. The episodes of bleeding were spontaneous, transient, and self-limited. Smears of the bloody exudate contained all of the components of peripheral blood. A skin biopsy taken at one site of the bloody exudate was normal, showing no signs of blood extravasation or bleeding sweat glands. The bleeding events were found to be immediately preceded by tonic seizures. An electroencephalogram indicated cerebral parietooccipital epilepsy, which was characterized by an intermittent medium-high amplitude θ rhythm (5-7 Hz) with a few spikes. The symptoms of both epilepsy and haematidrosis resolved after treatment with the antiepileptic drug 150 mg oxcarbazepine, orally, twice a day, which suggests that the epileptic seizures triggered haematidrosis in this patient. SN - 1473-2300 UR - https://www.unboundmedicine.com/medline/citation/25673645/Haematidrosis_associated_with_epilepsy_in_a_girl_successfully_treated_with_oxcarbazepine:_case_report. DB - PRIME DP - Unbound Medicine ER -