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Erythromelalgia:     more detail

Small fiber neuropathy underlies erythromelalgia.(Skin Disorders): An article from: Family Practice News by Jane Salodof MacNeil, 2006-04-01 Red scrotal syndrome: a localized phenotypical expression of erythromelalgia.(CASE REPORTS)(Case study): An article from: Journal of Drugs in Dermatology by Noel Prevost, Joseph C., III English, 2007-09-01 A case of erythromelalgia: good response to treatment with gabapentin.(CASE REPORTS)(Clinical report): An article from: Journal of Drugs in Dermatology by Ali Murat Ceyhan, Ipek Gurses, et all 2010-05-01 Two cases of erythromelalgia (Mitchell) by Daniel Webster Prentiss, 1897 A case of erythromelalgia,: With microscopical examination of the tissue from an amputated toe, (American journal of the medical sciences) by S. Weir Mitchell, 1899 The occurrence of erythromelalgia in diseases of the spinal cord: An account of ten cases by James Collier, 1898 Erythromelalgia: Report of two cases, with cure. From the clinic of Dr. Otto Lerch, professor of medical diagnosis, postgraduate department, Tulane University by Albert Emile Fossier, 1913 Hysterical rapid respiration, with cases: Peculiar form of rupial skin disease in an hysterial woman by S. Weir Mitchell, 1893

lists with details

1. NORD - National Organization For Rare Disorders, Inc.
   General Discussion. erythromelalgia is a rare condition that primarily affects the feet suffix "algia" indicates pain.) Although erythromelalgia typically affects both sides of the  
   http://www.rarediseases.org/search/rdbdetail_abstract.html?disname=Erythromelalg

2. THE MERCK MANUAL, Sec. 16, Ch. 212, Peripheral Vascular Disorders
   The cause of primary erythromelalgia is unknown. Secondary erythromelalgia may occur in patients Diagnosis of erythromelalgia is based on the relationship of complaints to increased  
   http://www.merck.com/pubs/mmanual/section16/chapter212/212f.htm
   
   Extractions: This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 16. Cardiovascular Disorders Chapter 212. Peripheral Vascular Disorders Topics [General] Peripheral Arterial Occlusion Thromboangiitis Obliterans Raynaud's Disease and Phenomenon ... Lipedema Erythromelalgia A rare syndrome of paroxysmal vasodilation with burning pain, increased skin temperature, and redness of the feet and, less often, the hands. The cause of primary erythromelalgia is unknown. Secondary erythromelalgia may occur in patients who have myeloproliferative disorders, hypertension, venous insufficiency, diabetes mellitus, SLE, RA, lichen sclerosus et atrophicus, gout, spinal cord disease, or multiple sclerosis. Diagnosis of erythromelalgia is based on the relationship of complaints to increased skin temperature. Secondary types should be differentiated from the rare primary type because correction of an underlying disorder may relieve symptoms. Differential diagnosis includes posttraumatic reflex dystrophies, shoulder-hand syndrome, causalgia, Fabry's disease, and bacterial cellulitis. Because erythromelalgia may precede a myeloproliferative disorder (even by several years), frequent blood counts may be indicated to allow early diagnosis and treatment of the latter. Attacks can be avoided or aborted by rest, elevation of the extremity, and cold applications. Therapy is not always successful. In primary erythromelalgia, aspirin 650 mg 1 to 4 times/day may provide prompt, prolonged relief. Avoiding factors that produce vasodilation is usually helpful, and vasoconstrictors (eg, ephedrine 25 mg po, propranolol 10 to 40 mg po qid, methysergide 1 mg po q 4 h) may also provide relief. In secondary erythromelalgia, the underlying disease should be treated.

3. The Erythromelalgia Association
   Welcome To The erythromelalgia Association.  
   http://www.erythromelalgia.org/

4. EMedicine - Erythromelalgia : Article By Robert J Nardino, MD
   erythromelalgia erythromelalgia is a rare disorder characterized by burning pain and warmth and redness of the extremities. Confusion exists in the literature concerning nomenclature and primary (idiopathic) and secondary erythromelalgia (most commonly associated with myeloproliferative  
   http://www.emedicine.com/med/topic730.htm
   
   Extractions: (advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Patient Education Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Medicine, Ob/Gyn, Psychiatry, and Surgery Hematology Last Updated: March 10, 2004 Rate this Article Email to a Colleague Synonyms and related keywords: erythermalgia, myeloproliferative disorder, arteriolar fibrosis, idiopathic erythromelalgia, platelet-mediated erythromelalgia, aspirin-sensitive erythromelalgia, primary erythermalgia, secondary erythermalgia, polycythemia vera, essential thrombocytosis AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: Robert J Nardino, MD , Director, Internal Medicine Residency Program, Assistant Clinical Professor, Department of Internal Medicine, Hospital of Saint Raphael, Yale University School of Medicine Coauthor(s): Andrea LM Silber, MD , Fellowship Director of Oncology, Hospital of St Raphael; Clinical Assistant Professor, Department of Medicine, Section of Hematology-Oncology, Yale University School of Medicine Robert J Nardino, MD, is a member of the following medical societies:

5. Erythromelalgia
   This is a rare problem where the hands and feet get very red and painful in a warm environment. it was more likely a problem with blood vessels called erythromelalgia. I am still at a loss as  
   http://healthlink.mcw.edu/article/990317252.html
   
   Extractions: Subscribe now >> Q: I enjoy reading your column and your article discussing Raynaud's disease was of particular interest to me. However, my feet get extremely hot and red. Both plantar fasciitis and peripheral neuropathy were suggested as possibilities. After much frustration, I went to Marshfield Clinic. The doctor did some nerve conduction tests and said it was more likely a problem with blood vessels called erythromelalgia. I am still at a loss as to why I have it and what I can do to treat it. Is that the end of my story or can you tell me more about it and where I might find someone familiar with this very uncomfortable situation? A: You have a rare problem, that is almost the opposite of Raynaud's , in which the fingers and toes turn color and get painful with exposure to cold. With erythromelalgia, the hands and feet get very red and painful in a warm environment. It is more common in men and usually begins around middle age. The feet are usually more involved than the hands, especially when the feet are hanging down for long periods. Erythromelalgia may be associated with high blood pressure, too many platelets or red cells in the blood, or a side effect of medications like nifedipine (blood pressure medicine).

6. Erythromelalgia -- ECureMe.com
   UPDATED SARS INFORMATION Check health symptoms, make a self diagnosis, ask a doctor or veterinarian online, view an encyclopedia of diseases treatments, buy discount medical supplies. erythromelalgia. more about erythromelalgia. This is a rare syndrome characterized by burning pain and redness in more about erythromelalgia. If you want your friend to read or know  
   http://www.ecureme.com/emyhealth/data/Erythromelalgia.asp
   
   Extractions: DisplayAd("468","60"); Select a Health Topic ADD/ADHD Allergy Alternative Medicine Arthritis Asthma Beyond Dieting Body Aches and Pains Breast Cancer Cancer Awareness Cardio Health Children's Health Colon Cancer Contraception COPD/Emphysema Dental Health Diabetes Elder Care Emergency Room Epilepsy Erectile Dysfunction Eye Care Fertility Fitness Gastrointestinal Health Glands and Hormones Gynecologic Health Hair Loss Headache Healthcare Today Healthy Aging HIV and AIDS Infectious Diseases Kidney Health Leukemia Liver Health Lung Cancer Lymphoma Multiple Sclerosis Men's Health Mental Health Nutrition Osteoporosis Parkinson's Disease Sexual Health Skin Health Sleep Disorders Special Events Stroke Surgeries and Procedures Teen Health Thyroid Health Urologic Health Vascular Disease Women's Health Workplace Health June 2, 2004 Resource Links Physician Search Your Questions,

7. Erythromelalgia
   erythromelalgia If you have RED, BURNING, FEET or HANDS, check this page out!!!  
   http://www.homestead.com/lareisaplaza/erythromelalgia.html

8. Erythromelalgia
   erythromelalgia Menu. This is a webforum to discuss and comment on erythromelalgia. Click here to Enter a new Neurology WebForum article Click Here to Read our Forum Disclaimer and Statement of Purpose neurology+erythromelalgia (11/23/99) 117 AM. erythromelalgia erythromelalgia (11/19/99) 1102 PM  
   http://neuro-www.mgh.harvard.edu/forum/ErythromelalgiaMenu.html
   
   Extractions: This is a webforum to discuss and comment on Erythromelalgia. Click here to Enter a new Neurology WebForum article... This Web Forum is not moderated in any sense. Anyone on the Internet can post articles or reply to previously posted articles, and they may do so anonymously. Therefore, the opinions and statements made in all articles and replies do not represent the official opinions of MGH and MGH Neurology. Neither is MGH or MGH Neurology responsible for the content of any articles or replies. No messages are screened for content. - Very Important Message! - Please Click Here to Read Current Posts: Nov 13, 1997 to Present Useful Websites can be found and posted here! IMPORTANT: If this page seems to be missing recently added documents, click the "Reload Page" button on your Web Browser to update the menu. Return to the main Neurology WebForum Page. These forums are maintained by the Department of Neurology at Massachusetts General Hospital

9. Erythromelalgia Diagnosis
   erythromelalgia Diagnosis. Medical Explanation and EM Life Style.The following photo). Raynaud s Syndrome and erythromelalgia. As  
   http://www.erythromelalgia.org/Diagnosis.asp

10. EMedicine - Erythromelalgia : Article Excerpt By: Robert J Nardino, MD
    erythromelalgia erythromelalgia is a rare disorder characterized by burning painand warmth and redness of the extremities. Excerpt from erythromelalgia.  
    http://www.emedicine.com/med/byname/erythromelalgia.htm
    
    Extractions: (advertisement) Synonyms, Key Words, and Related Terms: erythermalgia, myeloproliferative disorder, arteriolar fibrosis, idiopathic erythromelalgia, platelet-mediated erythromelalgia, aspirin-sensitive erythromelalgia, primary erythermalgia, secondary erythermalgia, polycythemia vera, essential thrombocytosis Background: Erythromelalgia is a rare disorder characterized by burning pain and warmth and redness of the extremities. Confusion exists in the literature concerning nomenclature and classification, but, in general, a distinction is made between primary (idiopathic) and secondary erythromelalgia (most commonly associated with myeloproliferative disorders), as well as early- and late-onset disease. The name is derived from 3 Greek words— erythros (red), melos (extremities), and algos (pain). In 1938, Smith and Allen proposed the term erythermalgia to emphasize the characteristic warmth. They also proposed a distinction between primary (idiopathic) and secondary (due to underlying neurologic, hematologic, or vascular problems). At present, 2 competing classifications exist. Drenth (1994) and Michiels (1995) make a distinction between erythromelalgia and erythermalgia based on whether or not responsiveness to aspirin is present. They establish 3 categories—erythromelalgia (platelet-mediated and aspirin-sensitive), primary erythermalgia, and secondary erythermalgia. Kurzrock and Cohen (1991) make no distinction between the 2 but categorize patients as adult-onset (with idiopathic and secondary forms) and early-onset (idiopathic, childhood).

11. Introduction: Erythromelalgia - WrongDiagnosis.com
    Introduction to erythromelalgia as a medical condition including symptoms,diagnosis, misdiagnosis, treatment, prevention, and prognosis.  
    http://www.wrongdiagnosis.com/e/erythromelalgia/intro.htm
    
    Extractions: Diseases Did we miss something? Please tell your story or provide feedback or suggestions By using this site you agree to our and . Information provided on this site is for informational purposes only; it is not intended as a substitute for advice from your own medical team. The information on this site is not to be used for diagnosing or treating any health concerns you may have - please contact your physician or health care professional for all your medical needs. Please see our

12. Erythromelalgia - Information / Diagnosis / Treatment / Prevention
    home rare disorders erythromelalgia erythromelalgia. erythromelalgia(EM) Email group to discuss treatments and the affects of the condition.  
    http://www.healthcyclopedia.com/rare-disorders/erythromelalgia.html
    
    Extractions: Web Directory: Erythromelalgia (EM) Email group to discuss treatments and the affects of the condition. NORD: Erythromelalgia Sample report, plus links to organisations. [Fee required for full report.] The Erythromelalgia Association A non-profit organization dedicated to research and education regarding this painful disorder. Offers details about the disorder, the organization, FAQs and membership information.

13. Dr. Pribut On Erythromelalgia
    “ Synonymserythromelalgia, erythermalgia. Classification and Types erythromelalgia by Stephen M. Pribut, DPM.  
    http://www.drpribut.com/sports/erythromelalgia.htm
    
    Extractions: by Stephen M. Pribut, DPM Description: ... features of erythromelalgia include lower extremity vasodilatation, redness, burning pain and increase in temperature. Synonyms: Erythromelalgia, erythermalgia Classification and Types: Primary: sometimes reported as an autosomal dominant but most likely idiopathic Secondary: associated with other disorders such as myeloproliferative disorders and thrombocytosis. Smith and Allen in 1938 used the term erythermalgia to place an emphasis on the warmth noted with this disorder. They were the first to subdivide the disorder into primary and secondary. Two differing systems of classification exist today. Drenth and Michiels (1994, 1995) proposed using the terms erythromelalgia for a platelet-mediated form that is responsive to aspirin and use the terms primary and secondary erythermalgia for non-aspirin sensitive forms of the disorder. Kurzrock and Cohen (1991) subdivide the disorder into adult-onset idiopathic and adult-onset secondary along with early-onset idiopathic and early-onset childhood forms. The early onset form has a male to female ratio of 1:2.5. Secondary erythromelalgia caused by myeloproliferative disorders seem to occur in a male to female ratio of 3:2.

14. Erythromelalgia
    erythromelalgia. = recurrent burning pain in feet, with redness andincreased temperature, provoked by factors which usually cause  
    http://www.geocities.com/davidscerri/erythromelalgia.htm
    
    Extractions: ERYTHROMELALGIA [ = recurrent burning pain in feet, with redness and increased temperature, provoked by factors which usually cause peripheral vasodilatation, ie. local heat, exercise, standing] systemic lupus erythematosus hypertension polycythaemia rubra vera other myeloproliferative disorders idiopathic click here to return to the main contents page of Differential Diagnoses in General Medicine

15. Disease Directory : Erythromelalgia
    Diseases Rare Disorders erythromelalgia erythromelalgia. Directory Listing. SubmitYour Site to the erythromelalgia category. Featured Partner.  
    http://www.diseasedirectory.net/detailed/27665.aspx

16. Erythromelalgia
    The erythromelalgia Association (TEA). erythromelalgia The erythromelalgiaAssociation (TEA) National network. Founded 1999. Provides  
    http://my.webmd.com/hw/health_guide_atoz/shc29ery.asp
    
    Extractions: Provides emotional support and information for persons with erythromelalgia, their families and friends. Aim is to foster communication between members by sharing personal experiences, work with medical community to help find treatments and cures, and increase public awareness of this rare disorder. The above information is based upon information available through the "verified" date at the end of each listing. Since American Self-Help Group Clearinghouse's resources are limited; it is not possible to keep every entry in American Self-Help Group Clearinghouse database completely current and accurate. Please check with the organizations listed for the most current information.

17. Erythromelalgia
    erythromelalgia Important It is possible that the main title of thereport erythromelalgia is not the name you expected. Please  
    http://my.webmd.com/hw/health_guide_atoz/nord245.asp
    
    Extractions: Erythromelalgia is a rare condition that primarily affects the feet and, less commonly, the hands (extremities). It is characterized by intense, burning pain of affected extremities, severe redness (erythema), and increased skin temperature that may be episodic or almost continuous in nature. (The prefix "erythro-" denotes redness, "mel-" is a combining form meaning limb or limbs, and the suffix "-algia" indicates pain.) Although erythromelalgia typically affects both sides of the body (bilateral), it may sometimes involve only one side (unilateral). In addition, the disease course may be extremely variable from case to case. For example, in some individuals, symptom onset may be gradual (insidious), with the condition potentially remaining relatively mild for years. However, in others, it may have a sudden (acute) onset, possibly spreading and becoming severe over weeks.

18. Erythromelalgia Types And Treatments
    erythromelalgia Types and Treatments. This article submitted by Karl Granat on10/13/98. Email Address katlgra@aol.com Form letter on erythromelalgia  
    http://neuro-www.mgh.harvard.edu/forum/ErythromelalgiaF/10.13.981.41PMErythromel
    
    Extractions: What is Erythromelalgia? Erythromelalgia is a painful condition that has a very distinctive pattern of symptoms. It is diagnosed when the extremities are red, warm and painful- the pain is often described as burning. This pain is only relieved by cooling (often in cold water) or the elevation of the affected extremities. Secondary Erythromelalgia: This condition often accompanies tissue destroying disorders such as arthritis, lupus, or diabetes. It also often associated with potentially fatal disorders of the blood as well- which is why all who suffer from these symptoms should seek a diagnosis and treatment from a physician and have periodic blood tests thereafter. Secondary erythromelalgia can very often be treated successfully by your physician.

19. New Page 4
    The symptoms you describe are classic for something called *erythromelalgia*,which literally means red, painful extremities. erythromelalgia  
    http://www.the-doctors-inn.com/newpage4.htm

20. Health Library -
    erythromelalgia. General Discussion. erythromelalgia is a rare condition thatprimarily affects the feet and, less commonly, the hands (extremities).  
    http://yalenewhavenhealth.org/library/healthguide/IllnessConditions/topic.asp?hw

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