$Unique_ID{BRK00248}
$Pretitle{Ill Defined Symptoms and Rare Diseases}
$Title{What is Gardener-Diamond Syndrome?}
$Subject{bruises Gardener-Diamond immune}
$Volume{N-20}
$Log{}

Copyright (c) 1991   Tribune Media Services, Inc.


What is Gardener-Diamond Syndrome?


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QUESTION:  I have a peculiar pattern of frequent bruising.  It doesn't seem to
have anything to do with a knock or bang, but the bruise is painful, and last
for several days.  My doctor explained it as something to do with gardiners'
red cells, but by the time I arrived home it made no sense.  I am truly
worried.  Can you help?

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ANSWER:  When we are under stress, we can easily be confused by an explanation
about a diagnosis that causes us great anxiety.  I believe your doctor was
trying to explain Gardener-Diamond Syndrome to you.  It is a disease of the
immune system in which the body becomes sensitized to its own red cells and
destroys some of them.  Frequently emotional stress plays a part in setting
off the developement of these bruises.  Usually there is a local sensation of
burning or tingling that occurs from 18 to 24 hours before the bruises
(purpura) appear, which can last for from 5 to 7 days.  They are most
frequently seen on the extremities and scalp, seldom on the back, and do
appear in areas where there is no history of a bang or knock. However, since
they are painful, patients frequently believe they have had some time of
trauma to the area.  Blood tests, to help diagnose this condition, such as
coagulation tests and platelet counts are normal.  Its a diagnosis that is
sometimes quite difficult to make, and once made, it is a discouraging disease
to treat.  There are no known cures, and even the use of cortisone-like
medications and antihistamines offer little relief.  Attempts to desensitize
the body are also unsuccessful.  You may also expect this to recur every now
and again, usually when things are not going your way and you are having some
emotional or psychological problems.  With this explanation in hand it might
be wise to return to your doctor so he can discuss your personal situation and
offer some explanations that are particular to your situation.

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The material contained here is "FOR INFORMATION ONLY" and should not replace 
the counsel and advice of your personal physician.  Promptly consulting your 
doctor is the best path to a quick and successful resolution of any medical 
problem.
