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Psychosomatic Medicine, Vol 42, Issue 1 221-230, Copyright © 1980 by American Psychosomatic Society


ORIGINAL ARTICLES

Atypical bleeding in hemophilia: application of the conversion model to the case study of a child

RR Chilcote and RL Baehner

Although it has been suggested that psychosocial events may trigger bleeding in patients with hemophilia, few specific instances have been described. In this report we interpret a series of atypical bleeding episodes in a child with a factor VIII deficiency. Although the specific pathophysiologic events that led to bleeding into the elbow are unknown in this child, they are probably similar to those of "psychogenic purpura." It is likely that these episodes of atypical bleeding can be interpreted in terms of conversion model and that conversion reactions in children required involvement by at least one parent.





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Copyright © 1980 by the American Psychosomatic Society