LAUSR

Dear Editor, Psychogenic purpura (Gardner-Diamond syndrome or autoerythrocyte sensitization syndrome) is a rare cutaneous disorder that is frequently observed in adult women with psychiatric disease. The disease is typically characterized by recurrent, painful, and spontaneous ecchymosis. Patients do not have a bleeding or coagulation disorder or any other cause of purpura/bruising. The mainstay of the diagnosis depends on suspicion of the disorder and exclusion of other bruising disorders. Herein, we present a case of psychogenic purpura in a hemodialysis patient. A 39-year-old female patient presented with recurrent episodes of multiple painful ecchymotic macules and patches on her extremities and trunk for 3 months (Figure 1A, C, E). She denied any history of physical trauma on her skin. Neither the patient nor her family