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Gardner and Diamond described a clinical picture of painful ecchymosis in the skin and mucous membranes in four female patients and called this entity Gardner-Diamond syndrome (GDS). At present, the exact pathogenesis of the disease is still unknown. In recent years, it has been advocated that antibodies against phosphatidylserine in erythrocyte stroma may cause immune complex and complement activation, leading to this clinical picture. Herein, we found it appropriate to present a case of multiple ecchymotic lesions diagnosed with GDS followed by many autoimmune diseases to draw attention to autoimmune association. As a result of this case presentation and mini-literature review, we think that autoimmunity patients should not be missed in GDS patients.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8240244 | PMC |
http://dx.doi.org/10.14744/nci.2020.97992 | DOI Listing |
Indian J Dermatol Venereol Leprol
January 2025
Department of Psychiatry, A. J. Institute of Medical Sciences and Research Centre, AJIMS, Mangalore, India.
Indian J Dermatol
August 2024
From the Department of Dermatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan E-mail:
Cutis
January 2024
Dr. Petruzzelli is from the Department of Medicine, Warren Alpert Medical School, Brown University, Providence, Rhode Island. Dr. Sarro and Douglas Leeman are from Premier Dermatology Partners, Delray Beach, Florida.
JMIR Dermatol
September 2023
Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Background: Psychogenic purpura is an idiopathic psychodermatologic condition of recurrent, painful purpura precipitated by psychological stress, predominantly affecting young females. Little consensus exists on the diagnostic guidelines for this rare condition, often resulting in costly, unnecessary, and stressful investigations as well as prolonged hospital admissions.
Objective: With this first up-to-date systematic review of 134 cases of psychogenic purpura in over a decade, we aim to thoroughly investigate the diagnostic strategy and treatment regimens used in the last decade.
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