Painful bruising syndrome (also known as 'autoerythrocyte sensitization', 'Gardner–Diamond syndrome', and 'psychogenic purpura') is an idiopathic trauma-induced condition seen in young to middle-aged women who sometimes manifest personality disorders.:829 It is characterized by a distinctive localized purpuric reaction occurring primarily on the legs, face and trunk, with recurring painful ecchymoses variably accompanied by syncope, nausea, vomiting, gastrointestinal and intracranial bleeding.