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Korean J Pain.  2013 Jul;26(3):299-302. 10.3344/kjp.2013.26.3.299.

Secondary Erythromelalgia: A Case Report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea.
  • 2National Health Insurance Service Ilsan Hospital, Goyang, Korea. anaper@naver.com

Abstract

Erythromelalgia is a rare neurovascular pain syndrome characterized by a triad of redness, increased temperature, and burning pain primarily in the extremities. Erythromelalgia can present as a primary or secondary form, and secondary erythromelalgia associated with a myeloproliferative disease such as essential thrombocythemia often responds dramatically to aspirin therapy, as in the present case. Herein, we describe a typical case of a 48-year-old woman with secondary erythromelalgia linked to essential thrombocythemia in the unilateral hand. As this case demonstrates, detecting and visualizing the hyperthermal area through infrared thermography of an erythromelalgic patient can assist in diagnosing the patient, assessing the therapeutic results, and understanding the disease course of erythromelalgia.

Keyword

aspirin; erythromelalgia; infrared thermography; neuropathic pain

MeSH Terms

Aspirin
Burns
Erythromelalgia
Extremities
Female
Hand
Humans
Neuralgia
Thermography
Thrombocythemia, Essential
Aspirin
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