raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:324636

Autoerythrocyte sensitization syndrome

Synonyms: GDS · Gardner-Diamond syndrome · Painful bruising syndrome · Psychogenic purpura

Type
Disease
Group
Disorder
Inheritance
Unknown
Age of onset
Adult
Status
active

A rare autoimmune disease with skin involvement characterized by recurrent episodes with isolated or multiple painful edematous inflammatory skin lesions progressing to ecchymoses within 24 hours, due to autosensitization to a stromal component of the patient's own erythrocytes. The development of the lesions is usually preceded by emotional or physical stress, followed by a prodromal stage with fatigue or malaise. Lower limbs and trunk are the most frequently involved sites. Accompanying features may include fever, arthralgia, myalgia, headache, gastrointestinal problems, or hematuria and epistaxis, among others. The disease occurs predominantly in women.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutoerythrocyte sensitization syndromeGDS · Gardner-Diamond syndrome · Painful bruising syndrome · Psychogenic purpura
frSyndrome de sensibilisation aux érythrocytesSyndrome de Gardner-Diamond · Syndrome des ecchymoses douloureuses · Purpura psychogène
deErythrozytenautosensibilisierungEkchymosen-Syndrom, schmerzhaftes · GDS · Gardner-Diamond-Syndrom · Psychogene Purpura
esSíndrome de sensibilización autoeritrocitariaGDS · Púrpura psicógena · Síndrome de Gardner-Diamond · Síndrome de hematoma doloroso
itSindrome da sensibilizzazione autoeritrocitariaGDS · Porpora psicogena · Sindrome da ecchimosi dolorose · Sindrome di Gardner-Diamond
nlAuto-erytrocyt sensibiliseringssyndroomGDS · Gardner-Diamondsyndroom · Pijnlijke blauwe plekken-syndroom · Psychogene onderhuidse bloedingen · Psychogene purpura
ptSíndrome de sensibilização auto-eritrocitária
plZespół autosensytyzacji erytrocytówGDS · plamica psychogenna · Zespół bolesnych wybroczyn · Zespół Gardnera i Diamonda
csSyndrom autoerytrocytární senzitizaceGDS · Psychogenní purpura · Gardnerův-Diamondův syndrom · Syndrom bolestivých pohmožděnin · Gardner-Diamondův syndrom
ukСиндром аутоеритроцитарної сенсибілізаціїСиндром Гарднера-Даймонда · GDS · Синдром болісних синців · Психогенна пурпура
zh自体红细胞致敏综合征疼痛性瘀斑综合征
trOtoritrosit sensitizasyon sendromuGDS · Psikojenik purpura · Gardner-Diamond sendromu · Ağrılı morarma sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10D69.2NTBTattributedvalidated
ICD-11ED02Especificvalidated
MONDO0017943Evalidated
MeSHC535645Evalidated
UMLSC0301928Evalidated
GARD6481Evalidated
MedDRA10078888Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families170 casesWorldwideCase(s)Validated19192020[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

42 annotations · validated 2021-05-05
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000978Bruising susceptibility
HP:0031364Ecchymosis
Frequent (79-30%)
HP:0040064Abnormality of limbs
HP:0000708Atypical behavior
HP:0012531Pain
HP:0031190Superficial dermal perivascular inflammatory infiltrate
Occasional (29-5%)
HP:0000271Abnormality of the face
HP:0000707Abnormality of the nervous system
HP:0000739Anxiety
HP:0002829Arthralgia
HP:0025406Asthenia
HP:0012076Borderline personality disorder
HP:0000716Depression
HP:0002014Diarrhea
HP:0000969Edema
HP:0000712Emotional lability
HP:0410019Epigastric pain
HP:0000421Epistaxis
HP:0025474Erythematous plaque
HP:0012378Fatigue
HP:0001945Fever
HP:0002315Headache
HP:0000790Hematuria
HP:0008352Impaired platelet adhesion
HP:0012233Intramuscular hematoma
HP:0000132Menorrhagia
HP:0003326Myalgia
HP:0002018Nausea
HP:0008770Obsessive-compulsive trait
HP:0030140Oral cavity bleeding
HP:0033676Posttraumatic stress symptom
HP:0003645Prolonged partial thromboplastin time
HP:0000989Pruritus
HP:0100716Self-injurious behavior
HP:0002321Vertigo
HP:0002013Vomiting
Very rare (<4-1%)
HP:0001877Abnormal erythrocyte morphology
HP:0001973Autoimmune thrombocytopenia
HP:0002239Gastrointestinal hemorrhage
HP:0002170Intracranial hemorrhage
HP:0005261Joint hemorrhage
HP:0001894Thrombocytosis

Run the differential on the 2 obligate / very frequent terms

Annotation source: 29644197[PMID]_19192020[PMID]_28363337[PMID]

7

Sources for this card