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Their Relationship to the Production of Ecchymoses

David P. Agle, MD; Oscar D. Ratnoff, MD; Marvin Wasman, PhD

Arch Gen Psychiatry. 1969;20(4):438-447.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE interrelationship of psychological factors and organic disease has been frequently described. These interrelationships are particularly intriguing when the physical manifestation of disease appears to be a direct translation of some psychological pathology in the manner of a conversion reaction. This communication presents c;omocal data that suggest such a relationship between conversion reactions and the production of ecchymosis in patients with autoerythrocyte sensitization. This disease is a chronic purpuric state affecting adult and adolescent females, manifested by episodes of painful spontaneous bruising.¹ The onset of the spontaneous bruise or ecchymosis is stereotyped. The patient's attention is drawn to a new lesion by a sudden pain described as sharp, stabbing, stinging, or burning. A lump then appears followed within a few minutes by an erythema. Within an hour or so an ecchymosis spreads from the periphery of the erythematous area. Although the erythema usually lasts no more than a . . . [Full Text PDF of this Article]

Author Affiliations
Cleveland

From the Department of Psychiatry (Drs. Agle and Wasman), and the Department of Medicine (Dr. Ratnoff) Case Western Reserve University Medical School, Cleveland.

Footnotes
Submitted for publication Nov 4, 1968.

Reprint requests to Department of Psychiatry, Case Western Reserve University School of Medicine, University Circle, Cleveland 44106 (Dr. Agle).

Read in part before the Annual Meeting of the American Psychiatric Association, Detroit, May 11, 1967.

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