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Late-onset erythromelalgia in a previously healthy young woman: a case report and review of the literature
INTRODUCTION: Erythromelalgia is a rare disorder characterized by episodic erythema and burning pain, which commonly involves the extremities. We present a case of late onset erythromelalgia in a previously healthy young woman and briefly review the literature. Our patient's case also has addit...
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2009
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2783047/ https://www.ncbi.nlm.nih.gov/pubmed/19946584 http://dx.doi.org/10.1186/1752-1947-3-106 |
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author | Gaur, Shobhana Koroscil, Thomas |
author_facet | Gaur, Shobhana Koroscil, Thomas |
author_sort | Gaur, Shobhana |
collection | PubMed |
description | INTRODUCTION: Erythromelalgia is a rare disorder characterized by episodic erythema and burning pain, which commonly involves the extremities. We present a case of late onset erythromelalgia in a previously healthy young woman and briefly review the literature. Our patient's case also has additional uncommon features not reported previously. CASE PRESENTATION: A 33-year-old previously healthy Caucasian woman presented with complaints of episodic burning pain and flushing occurring in a central distribution involving her face, ears, upper chest and, occasionally, her upper extremities. Her symptoms were triggered by lying down or warm temperature exposure and were relieved by cooling measures. Extensive diagnostic work-up looking for secondary causes for the symptoms was negative and the diagnosis of erythromelalgia was made based on details provided in her clinical history supported by raised temperature in the affected area measured by thermography during a symptomatic episode. The patient did not respond to pharmacological therapy or surgical sympathectomy. She was advised on lifestyle modification to avoid activities which triggered her symptoms. She was hypothermic with a core temperature between 92 and 95°F. She also had premature ovarian failure, which had not previously been reported. CONCLUSION: Erythromelalgia is a rare disorder of unknown cause. There is no confirmatory diagnostic test; diagnosis is based on details provided in the patient's medical history and physical examination during the episodes. For those affected, this disorder leads to significant long-term morbidity and unfortunately, to date, no definitive therapy is available except for lifestyle modification. |
format | Text |
id | pubmed-2783047 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-27830472009-11-26 Late-onset erythromelalgia in a previously healthy young woman: a case report and review of the literature Gaur, Shobhana Koroscil, Thomas J Med Case Reports Case report INTRODUCTION: Erythromelalgia is a rare disorder characterized by episodic erythema and burning pain, which commonly involves the extremities. We present a case of late onset erythromelalgia in a previously healthy young woman and briefly review the literature. Our patient's case also has additional uncommon features not reported previously. CASE PRESENTATION: A 33-year-old previously healthy Caucasian woman presented with complaints of episodic burning pain and flushing occurring in a central distribution involving her face, ears, upper chest and, occasionally, her upper extremities. Her symptoms were triggered by lying down or warm temperature exposure and were relieved by cooling measures. Extensive diagnostic work-up looking for secondary causes for the symptoms was negative and the diagnosis of erythromelalgia was made based on details provided in her clinical history supported by raised temperature in the affected area measured by thermography during a symptomatic episode. The patient did not respond to pharmacological therapy or surgical sympathectomy. She was advised on lifestyle modification to avoid activities which triggered her symptoms. She was hypothermic with a core temperature between 92 and 95°F. She also had premature ovarian failure, which had not previously been reported. CONCLUSION: Erythromelalgia is a rare disorder of unknown cause. There is no confirmatory diagnostic test; diagnosis is based on details provided in the patient's medical history and physical examination during the episodes. For those affected, this disorder leads to significant long-term morbidity and unfortunately, to date, no definitive therapy is available except for lifestyle modification. BioMed Central 2009-11-04 /pmc/articles/PMC2783047/ /pubmed/19946584 http://dx.doi.org/10.1186/1752-1947-3-106 Text en Copyright ©2009 Gaur and Koroscil; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case report Gaur, Shobhana Koroscil, Thomas Late-onset erythromelalgia in a previously healthy young woman: a case report and review of the literature |
title | Late-onset erythromelalgia in a previously healthy young woman: a case report and review of the literature |
title_full | Late-onset erythromelalgia in a previously healthy young woman: a case report and review of the literature |
title_fullStr | Late-onset erythromelalgia in a previously healthy young woman: a case report and review of the literature |
title_full_unstemmed | Late-onset erythromelalgia in a previously healthy young woman: a case report and review of the literature |
title_short | Late-onset erythromelalgia in a previously healthy young woman: a case report and review of the literature |
title_sort | late-onset erythromelalgia in a previously healthy young woman: a case report and review of the literature |
topic | Case report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2783047/ https://www.ncbi.nlm.nih.gov/pubmed/19946584 http://dx.doi.org/10.1186/1752-1947-3-106 |
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