Rare case of sweating of blood reported in JAPI

Manonukul et al. suggested the word "hematofolliculohidrosis" as it is visible with liquid like sweat and the blood is going out through follicular channels. Many reasons have been mentioned by Holoubek, such as a part of systemic disease, vicarious menstruation, immense exhaustion, psychogenic purpura, etc. Sudden anxiety and psychogenic strain are the most common causative agents, as evidenced before. Here, the most possible cause of it was acute on chronic mental strain, as the other etiologies were nullified by comprehensive history taking and laboratory testing. Psychogenic purpura is caused by hypersensitivity to the patient's blood or autoerythrocyte sensitization and is specified by recurring episodes of ecchymoses, gastrointestinal (GI) bleeding, and hematuria.

To conclude, though it is a very rarely reported case in medical literature, it is essential to keep a close watch on our daily patient interactions to register more cases of hematohidrosis to know further about it. It should also be encouraged to do skin biopsy to be done during acute episodes not later on.

Reference:

Chatterjee A, Chowdhury DK, Kundu A, et al. A Rare Case of Blood & Sweat: Hematohidrosis. J Assoc Physicians India 2022;70(10):81–82.

Keywords:

Rare, Case, Blood, Sweat, Hematohidrosis, Abhijit Chatterjee, Dip K Chowdhury, Arnab Kundu, Jayanta Datta, J Assoc Physicians India