DEAR DR. GOTT:
I am wondering if you know anything about erythromelalgia and if so, have you heard of any treatment or medication that is successful in treating it?
I would be grateful for any information you might have on this subject.
DEAR READER:
Erythromelalgia is a term for dilation of the small arteries of the hands, arms, feet, or legs. The lower extremities are more commonly involved than are the upper. Symptoms can come and go and vary from person to person, but are rarely constant. The cause is unknown. Degree of involvement is often symmetrical in nature. The associated pain has been known to last between a few minutes and several hours.
Since heat triggers the condition, avoidance of warm temperatures and remaining out of the sun is important. Some relief can be found with rest and by immersion of the extremity in ice water. Aspirin, non-steroidal anti-inflammatory agents and anti-convulsants have been used with some success in treating this condition.
This is a relatively uncommon disorder that can be difficult to treat. Your primary care physician and/or specialist might be able to refer you to a cutting-edge hospital for up-to-date guidelines of control.
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