We present a 13-year-old girl who came to our attention for an erythem
atous bruised lesion which appeared spontaneously without any apparent
coagulopathy. The history, histology, and positive ''skin-test,'' car
ried out by subcutaneously injecting autologous erythrocytes obtained
from heparinized blood, confirmed the suspected diagnosis of Diamond-G
ardner syndrome. No alterations of blood vessel walls or thromboses we
re found. Evaluation of hemocoagulative parameters revealed an increas
ed factor VIII level and reduced platelet aggregation after stimulatio
n by adenosine diphosphate (ADP).