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Painful bruising syndrome presenting as bullous lesions.

Gaikwad RP, Deshpande SS, Dhamdhere DV - Indian J Dermatol (2011)

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, MIMER Medical College, Talegaon Station, Talegaon Dabhade, Maval, Pune, India. E-Mail: rohinigkwd@yahoo.co.in.

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Sir, A 34-year-old female presented with dark-colored lesions on left cheek, arms, and thighs preceded by burning sensation... It commonly affects adult women with underlying psychiatric problems, with female to male ratio 20:1... The lesions are often preceded by a significant psychosocial stressor... A 34-year-old female presented with dark-colored lesion on left cheek, preceded by burning sensation for two days... After 15 days, she developed burning sensation over right arm [Figure 1] and left leg [Figure 2] followed by swelling and tenderness with discoloration and blister formation... She also developed similar lesion over left thigh and burning sensation over left ankle... She was discharged from the hospital with advice to continue these drugs... At home, she failed to continue the treatment... New lesions developed over her hands, thighs, and face... Some of them may present with cellulitis... Cases of dermatitis artefacta associated with ecchymotic lesions have been reported... A significant psychosocial stressor may be a precipitating factor... Cyproheptadine has been used in the management of such cases with variable results... Presence of fluid filled lesions is an unusual finding... Treatment of the patient with anti-depressives resulted in remission if skin lesions.

No MeSH data available.


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Purpuric lesion with erythema,oedema and blistering on left leg
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Figure 2: Purpuric lesion with erythema,oedema and blistering on left leg

Mentions: A 34-year-old female presented with dark-colored lesion on left cheek, preceded by burning sensation for two days. After 15 days, she developed burning sensation over right arm [Figure 1] and left leg [Figure 2] followed by swelling and tenderness with discoloration and blister formation. She also developed similar lesion over left thigh and burning sensation over left ankle. She had no history of similar lesions in the past.


Painful bruising syndrome presenting as bullous lesions.

Gaikwad RP, Deshpande SS, Dhamdhere DV - Indian J Dermatol (2011)

Purpuric lesion with erythema,oedema and blistering on left leg
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3108543&req=5

Figure 2: Purpuric lesion with erythema,oedema and blistering on left leg
Mentions: A 34-year-old female presented with dark-colored lesion on left cheek, preceded by burning sensation for two days. After 15 days, she developed burning sensation over right arm [Figure 1] and left leg [Figure 2] followed by swelling and tenderness with discoloration and blister formation. She also developed similar lesion over left thigh and burning sensation over left ankle. She had no history of similar lesions in the past.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, MIMER Medical College, Talegaon Station, Talegaon Dabhade, Maval, Pune, India. E-Mail: rohinigkwd@yahoo.co.in.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Sir, A 34-year-old female presented with dark-colored lesions on left cheek, arms, and thighs preceded by burning sensation... It commonly affects adult women with underlying psychiatric problems, with female to male ratio 20:1... The lesions are often preceded by a significant psychosocial stressor... A 34-year-old female presented with dark-colored lesion on left cheek, preceded by burning sensation for two days... After 15 days, she developed burning sensation over right arm [Figure 1] and left leg [Figure 2] followed by swelling and tenderness with discoloration and blister formation... She also developed similar lesion over left thigh and burning sensation over left ankle... She was discharged from the hospital with advice to continue these drugs... At home, she failed to continue the treatment... New lesions developed over her hands, thighs, and face... Some of them may present with cellulitis... Cases of dermatitis artefacta associated with ecchymotic lesions have been reported... A significant psychosocial stressor may be a precipitating factor... Cyproheptadine has been used in the management of such cases with variable results... Presence of fluid filled lesions is an unusual finding... Treatment of the patient with anti-depressives resulted in remission if skin lesions.

No MeSH data available.


Related in: MedlinePlus