Gardner-Diamond Syndrome: Insights into Psychogenic Purpura

Gardner-Diamond syndrome, also known as psychogenic purpura, is a rare condition characterized by the sudden onset of painful, ecchymotic, and purpuric lesions without any discernible physical cause. These lesions are often triggered by stress or minor injuries and primarily affect young adult women. The symptoms include tender skin areas that develop into ecchymosis within a day, typically on the arms and legs. While these lesions are commonly associated with trauma or surgery, they can also appear spontaneously. This case study involves a 24-year-old woman who experienced recurring lesions on her upper and lower limbs monthly for 2 years, coinciding with the loss of her child. She also reported generalized weakness, headaches, and occasional palpitations. Despite multiple dermatology consultations, no improvement was observed, leading to a referral to psychiatry for further evaluation at the RVM Institute of Medical Sciences and Research Center.