Gardner Diamond syndrome (GDS) which is also known as autoerythrocyte sensitization syndrome, psychogenic purpura, painful bruising syndrome is a rare autoimmune vasculopathy which mostly recurs after emotional stress and which is characterized with painful ecchymotic lesions.
Psychogenic purpura (autoerythrocyte sensitization): an unsolved dilemma.
Psychogenic purpura, idiopathic thrombocytopenic purpura, and platelet dysfunction in the same patient.
This disorder was named as psychogenic purpura based on its association with psychiatric disturbance in the majority of patients (9).
Ratnoff OD: Psychogenic purpura (autoerythrocyte sensitization): An unsolved dilemma.
Later, Ratnoff and Agle named it Psychogenic purpura due to the association with psychiatric disorders (7)
Current literature on this matter is based on cases reported (162 up to 2009, of which only ten involve men) (2-8-9-10) In 1971 Lababidi & Friedman, described the first case of Psychogenic purpura in a man; after that, cases describe on the male sex are but a few, most of them take place during the third decade of life with lesions similar to those found on women.
Psychogenic purpura with abnormally increased tPA dependent cutaneous fibrinolytic activity.
The primary clinical feature of psychogenic purpura reported in the literature is recurring ecchymoses.
It is a medical opinion that, while psychogenic purpura may contribute to the formation of stigmata, it is unluckily to be the sole cause.
Dissociative Identity Disorder Presenting with Psychogenic Purpura.