疼痛挫伤综合征一例

Gardner-Diamond syndrome:a case report

疼痛挫伤综合征是一种罕见疾病,以自发性的疼痛性瘀斑为特征,好发于女性,发病前常伴有精神疾病,病因及发病机制尚未明确,精神因素可能起到关键作用。本文报道1例疼痛挫伤综合征伴产后抑郁患者,临床表现为四肢疼痛性瘀斑,且伴有一过性凝血因子异常。抗抑郁治疗1个月后,瘀斑逐渐消退,疼痛症状缓解,随访4年未复发。

Gardner-Diamond syndrome(GDS)is a rare disease characterized by spontaneous painful bruises,which is more common in females and often associated with mental illness.The etiology and mechanism of the disease are not clear,and and mental factors may play a key role.We report a case of GDS with postpartum depression,presented with painful bruises on the limbs,and was accompanied by transient coagulation factor abnormalities.After the treatment for depression for 1 month,ecchymosis and pain symptoms were relieved,and there was no recurrence after 4 years follow-up.