Diagnosis and treatment of children with rare hemhidrosis and pediatrician's care experience: a case report

Introduction: Hematidrosis is a rare medical phenomenon referring to the excretion of blood or blood components (e.g., hemoglobin) from the body through sweat glands, causing the sweat to appear red, pink, or rust-colored. It is often accompanied by intact skin and no bleeding tendency, and must be distinguished from sweat contaminated by skin contact with dyes, food pigments, or local bleeding. Case Report: We depicted a 9-year-old girl who had previously been healthy, experiencing a 1-month period of bleeding in the right tragus and cheek without an apparent cause. The frequency of bleeding increased with activity, and the bleeding skin was intact. Moreover, she was diagnosed with hemhidrosis. Simultaneously, psychological evaluation was conducted to rule out psychological diseases including anxiety, depression, and school bullying and intimidation. Following propranolol was given to the patient, the effect was poor, and subsequently, Yupingfeng granule was added for treatment, and the patient's bleeding condition was considerably controlled. Conclusion: Following a three-month treatment regimen, the patient's symptoms subsided. The combination of Propranolol and Yupingfeng granules demonstrates both safety and efficacy in treating pediatric patients with hemhidrosis, offering a novel approach for pediatricians to consider.