The enigma of blood sweating: rare but real

Haematidrosis is a rare disorder where there is bleeding from intact skin and mucosa. No clear pathology has been isolated and triggers include stress and emotional disturbances. Religious beliefs and lack of knowledge about the condition among physicians impede the diagnosis and management. Seen commonly in adolescent girls, cases have been reported mostly from South East Asia. A 14-years-old boy presented with complaints of bleeding from arms, legs and mouth since the past 1 month. Detailed examination showed intact skin with no cuts or bruises. The child was hemodynamically stable and systemic examination was also normal. Blood investigations revealed no major abnormality. Treatment was started with anti-anxiolytics, beta blockers along with alternative methods like counselling and relaxation techniques. Symptomatic relief was noted particularly with relaxation techniques and counselling.