Perplexing purpura in two females: Rare case of autoerythrocyte sensitization syndrome
A 30-year-old housewife presented with similar spontaneous bruising over upper extremities since 1½ months. There was no prior trauma, menstrual irregularities, or bleeding diathesis. Cutaneous examination revealed multiple ecchymotic patches over bilateral arms, non-tender on palpation []. Hemogram, coagulation profile and radiological studies revealed no abnormalities. The autologous whole blood intradermal injection showed a similar positive reaction as in case 1. Histopathology revealed non-specific changes of extravasation of erythrocytes in lower dermis and subcutis []. Her psychiatric evaluation revealed no abnormalities, however, in view of the diagnosis of AES she was started on tab citalopram 5 mg daily with no new lesions till date.