A Case of Secondary Erythermalgia Associated with Hypertension.
10.5021/ad.1998.10.2.101
- Author:
Jin Young PARK
;
Tae Yoon KIM
;
Hyun Jeong LEE
;
Sang Chin LEE
;
Si Yong KIM
- Publication Type:Case Report
- Keywords:
Secondary erythermalgia;
Hypertension
- MeSH:
Adult;
Aspirin;
Burns;
Captopril;
Catecholamines;
Child;
Erythema;
Erythromelalgia*;
Estrogens, Conjugated (USP);
Extremities;
Foot;
Humans;
Hypertension*;
Labetalol;
Leg;
Male;
Nitroprusside;
Plasma;
Renin;
Stellate Ganglion
- From:Annals of Dermatology
1998;10(2):101-104
- CountryRepublic of Korea
- Language:English
-
Abstract:
Erythromelalgia(Erythermalgia) is a syndrome of red, warm, congested, and burning painful extremities. Presently, there are three distinct clinicopathological entities: erythromelalgia, primary erythermalgia, and secondary erythermalgia. Secondary erythermalgia usually arises at an adult age either in association with a detectable underlying disorder or with the use of vasoactive drugs. Typically, it responds to proper treatment of the underlying disorder or discontinuation of the causative drugs. A seven-year-old boy presented with persisting burning pain, erythema, and warmth on both of his feet and lower legs, along with hypertension. He had had this condition for 20 months. Laboratory studies of the patient revealed increased urinary catecholamines and plasma renin activity. Various treatment modalities including aspirin, captopril, sodium nitroprusside, labetalol, epidural block, and stellate ganglion block yielded unfavorable results. Herein, we report an intractable case of secondary erythermalgia associated with hypertension in a child.
