Eythromelalgia Mimicking Lower Leg Pain of Spinal Origin : Case Report.
10.4055/jkoa.2009.44.3.391
- Author:
Dae Moo SHIM
1
;
Tae Kyun KIM
;
Jin Young PARK
;
Sung Kyun OH
;
Young Ha WOO
Author Information
1. Department of Orthopaedic Surgery, School of Medicine, Wonkwang University Hospital, Iksan, Korea. ospjy@wonkwang.ac.kr
- Publication Type:Case Report
- Keywords:
Erythromelalgia;
Lower leg pain
- MeSH:
Aged;
Burns;
Diagnostic Tests, Routine;
Erythema;
Erythromelalgia;
Foot;
Hand;
Humans;
Immersion;
Leg;
Sensation;
Water
- From:The Journal of the Korean Orthopaedic Association
2009;44(3):391-394
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Erythromelalgia is a rare condition, of uncertain etiology, characterized by episodic erythema, intense burning pain and warmth of the hands and/or feet. We present here a case of erythromelalgia that was almost mistaken for lower leg pain of spinal origin. The diagnosis is based on a thorough history and physical exam during a painful episode along with diagnostic test to exclude other causes. A 69-year-old man developed recurrent attacks of redness, swelling and burning painful sensations of both feet. His symptom was aggravation of pain with warm water immersion. His symptom improved by antidepressant and steroid. To be learned an important general lesson is to pay attention to performing extensive diagnostic and therapeutic procedures. It should be appreciated that discontinuation of medication can also be used as a simple diagnostic test for clinical syndromes, such as erythermalgia.
