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Pain management in children with erythromelalgia: case report

Erythromelalgia is a neuropathic pain syndrome due to an autosomal dominant gene, characterized by erythema, increased skin temperature and burning pain in hands and feet, whose treatment is often unsatisfactory. In this paper, we report a case of a 9 years old female patient whose first episode of...

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Detalles Bibliográficos
Autores principales: Bortoli, Estela Irene, Sakata, Rioko Kimiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9391724/
https://www.ncbi.nlm.nih.gov/pubmed/29402440
http://dx.doi.org/10.1016/j.bjane.2017.12.005
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author Bortoli, Estela Irene
Sakata, Rioko Kimiko
author_facet Bortoli, Estela Irene
Sakata, Rioko Kimiko
author_sort Bortoli, Estela Irene
collection PubMed
description Erythromelalgia is a neuropathic pain syndrome due to an autosomal dominant gene, characterized by erythema, increased skin temperature and burning pain in hands and feet, whose treatment is often unsatisfactory. In this paper, we report a case of a 9 years old female patient whose first episode of burning pain, erythema and edema of the hands, without triggering factors, had instant relief after immersion in cold water. She presented with systemic arterial hypertension and had seizures. The patient was treated with gabapentin (150 mg.8 h(−1)) and amitriptyline (12.5 mg) orally, intravenous lidocaine infusion (120 mg), without relieving pain complaints. Due to the lack of response to the proposed treatment, it was decided to gradually reduce these medications and to introduce carbamazepine (200 mg) orally and, after 4 days of treatment, there was complete relief of the manifestations.
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spelling pubmed-93917242022-08-21 Pain management in children with erythromelalgia: case report Bortoli, Estela Irene Sakata, Rioko Kimiko Braz J Anesthesiol Clinical Information Erythromelalgia is a neuropathic pain syndrome due to an autosomal dominant gene, characterized by erythema, increased skin temperature and burning pain in hands and feet, whose treatment is often unsatisfactory. In this paper, we report a case of a 9 years old female patient whose first episode of burning pain, erythema and edema of the hands, without triggering factors, had instant relief after immersion in cold water. She presented with systemic arterial hypertension and had seizures. The patient was treated with gabapentin (150 mg.8 h(−1)) and amitriptyline (12.5 mg) orally, intravenous lidocaine infusion (120 mg), without relieving pain complaints. Due to the lack of response to the proposed treatment, it was decided to gradually reduce these medications and to introduce carbamazepine (200 mg) orally and, after 4 days of treatment, there was complete relief of the manifestations. Elsevier 2018-03-11 /pmc/articles/PMC9391724/ /pubmed/29402440 http://dx.doi.org/10.1016/j.bjane.2017.12.005 Text en © 2018 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Clinical Information
Bortoli, Estela Irene
Sakata, Rioko Kimiko
Pain management in children with erythromelalgia: case report
title Pain management in children with erythromelalgia: case report
title_full Pain management in children with erythromelalgia: case report
title_fullStr Pain management in children with erythromelalgia: case report
title_full_unstemmed Pain management in children with erythromelalgia: case report
title_short Pain management in children with erythromelalgia: case report
title_sort pain management in children with erythromelalgia: case report
topic Clinical Information
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9391724/
https://www.ncbi.nlm.nih.gov/pubmed/29402440
http://dx.doi.org/10.1016/j.bjane.2017.12.005
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