Sympathetic block for treating primary erythromelalgia.
Sympathetic block for treating primary erythromelalgia.
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DOI：
10.3344/kjp.2010.23.1.55
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发表时间：
2010-03
期刊：
影响因子：
--
通讯作者：
Park YH
中科院分区：
文献类型：
--
作者：
Bang YJ;Yeo JS;Kim SO;Park YH
原发性红斑性肢痛症是一种罕见的疾病，其特征是红斑、皮肤温度升高和四肢灼痛。疼痛通常非常严重，治疗红斑性肢痛是令人沮丧和困难的。我们在这里报告的情况下，12岁的女孩原发性红斑性肢痛在两个下肢。这种疼痛对药物治疗是难治性的，但是用利多卡因和曲安奈德阻断双侧交感神经导致疼痛减轻。我们对这种疾病的经验表明，交感神经阻滞在改善症状方面是有效的，可以尝试对其他治疗无效的红斑性肢痛患者进行治疗，包括药物治疗和硬膜外阻滞。
Primary erythromelalgia is a rare condition that's characterized by erythema, an increased skin temperature and burning pain in the extremities. The pain is often very severe, and treating erythromelalgia is frustrating and difficult. We report here on the case of a 12-year old girl with primary erythromelalgia in both lower extremities. The pain was refractory to medical treatment, but a bilateral sympathetic block with lidocaine and triamcinolone resulted in relief from the pain. Our experience with this disease demonstrates that sympathetic blocks are effective in improving the symptoms and they may be attempted on erythromelalgia patients who do not respond to other treatments, including medication and epidural blocks.