Understanding Erythromelalgia

What is Erythromelalgia?

Erythromelalgia is a rare condition characterized by episodes of burning pain, redness, and increased temperature in the extremities, most commonly affecting the feet and hands.

Key Symptoms

• Intense burning pain
• Redness of affected areas
• Warmth in affected areas
• Swelling
• Symptoms typically triggered by:
  • Heat exposure
  • Exercise
  • Standing for long periods
  • Stress

Diagnosis

Diagnosis is primarily clinical, based on:

• Detailed patient history
• Physical examination during episodes
• Temperature monitoring
• Exclusion of other conditions

Treatment Options

Conservative Management

• Cooling strategies
• Elevation of affected limbs
• Avoiding trigger factors

Medications

1. Topical Treatments

   • Lidocaine patches
   • Capsaicin cream

2. Oral Medications

   • Aspirin
   • Calcium channel blockers
   • Anticonvulsants

Living with Erythromelalgia

Self-Care Measures

• Keep affected areas cool
• Wear loose-fitting clothing
• Avoid hot environments
• Regular gentle exercise

When to Seek Medical Care

• Worsening symptoms
• Development of skin ulcers
• Signs of infection
• Severe pain episodes

Prognosis

While erythromelalgia is chronic, proper management can significantly improve quality of life. Working closely with healthcare providers to develop an individualized treatment plan is essential.