Erythromelalgia - Revision history

Aidan: /* Management */

2021-11-02T12:53:14Z

Management

← Older revision		Revision as of 12:53, 2 November 2021
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	** No clear benefit but many have been tried		** No clear benefit but many have been tried
	** Topical treatments		** Topical treatments
	*** For pain, can try lidocaine patches, compounded amitriptyline and ketamine, capsaicin, topical diclofenac gel, gabapentin ointment		*** For pain, can try [[lidocaine]] patches, compounded [[amitriptyline]] and [[ketamine]], [[capsaicin]], topical [[diclofenac]] gel, [[gabapentin]] ointment
	*** For erythema, can try midodrine		*** For erythema, can try [[midodrine]]
	** Systemic treatments		** Systemic treatments
	*** Aspirin, especially if concomitant [[Myeloproliferative disorders\|myeloproliferative disorder]]		*** Aspirin, especially if concomitant [[Myeloproliferative disorders\|myeloproliferative disorder]]

Aidan at 18:18, 28 March 2021

2021-03-28T18:18:16Z

← Older revision		Revision as of 18:18, 28 March 2021
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	== Background ==		==Background==

	* Inherited disorder that causes episodes of hot, red, painful extremities		*Inherited disorder that causes episodes of hot, red, painful extremities
	* Rare, but more common in women than men, usually starting in adulthood		*Rare, but more common in women than men, usually starting in adulthood

	== Clinical Manifestations ==		==Clinical Manifestations==

	* Hot, red, painful extremities		*Hot, red, painful extremities
	* More commonly involves feet, but can involve hands		*More commonly involves feet, but can involve hands
	* May be associated with [[myeloproliferative disorders]] including [[essential thrombocytosis]], [[chronic myelogenous leukemia]], [[polycythemia vera]], and [[myelofibrosis]]		*May be associated with [[myeloproliferative disorders]] including [[essential thrombocytosis]], [[chronic myelogenous leukemia]], [[polycythemia vera]], and [[myelofibrosis]]

			== Management ==

			* Non-pharmacologic
			** Identify and avoid precipitants, such as heat and exercise
			** Cool with water for short periods (5 to 10 minutes every 1 to 2 hours)
			** Cool with a fan for short periods (5 to 10 minutes every 1 to 2 hours)
			** Limb elevation
			** Avoid applying ice or very cold water directly to the skin
			* Pharmacologic
			** No clear benefit but many have been tried
			** Topical treatments
			*** For pain, can try lidocaine patches, compounded amitriptyline and ketamine, capsaicin, topical diclofenac gel, gabapentin ointment
			*** For erythema, can try midodrine
			** Systemic treatments
			*** Aspirin, especially if concomitant [[Myeloproliferative disorders\|myeloproliferative disorder]]
			*** For neuropathic pain, [[gabapentin]], [[pregabalin]], [[venlafaxine]], [[amitriptyline]], [[misoprostol]], [[sertraline]], [[mexiletine]], [[carbamazepine]], [[diltiazem]], [[sodium nitroprusside]], high-dose[[magnesium]]

	[[Category:Dermatology]]		[[Category:Dermatology]]

Aidan: Created page with "== Background == * Inherited disorder that causes episodes of hot, red, painful extremities * Rare, but more common in women than men, usually starting in adulthood == Clini..."

2021-03-28T18:11:51Z

Created page with "== Background == * Inherited disorder that causes episodes of hot, red, painful extremities * Rare, but more common in women than men, usually starting in adulthood == Clini..."

New page

== Background ==

* Inherited disorder that causes episodes of hot, red, painful extremities
* Rare, but more common in women than men, usually starting in adulthood

== Clinical Manifestations ==

* Hot, red, painful extremities
* More commonly involves feet, but can involve hands
* May be associated with [[myeloproliferative disorders]] including [[essential thrombocytosis]], [[chronic myelogenous leukemia]], [[polycythemia vera]], and [[myelofibrosis]]

[[Category:Dermatology]]