FALSE ERYTHERMALGIA

Authors
Citation
I. Lazareth, FALSE ERYTHERMALGIA, Journal des maladies vasculaires, 21(2), 1996, pp. 84-87
Citations number
14
Categorie Soggetti
Cardiac & Cardiovascular System","Peripheal Vascular Diseas
ISSN journal
03980499
Volume
21
Issue
2
Year of publication
1996
Pages
84 - 87
Database
ISI
SICI code
0398-0499(1996)21:2<84:FE>2.0.ZU;2-L
Abstract
The differential diagnosis of erythermalgia is sometimes complicated b y the absence of consensus on proposed diagnostic criteria. Unwarrante d diagnosis can result From any clinical situation leading to burning sensations in the limbs. This can occurs in patients with peripheral n europathies who often experience dysesthesia when going to bed when th e legs are under the covers; in such cases, redness and local warmness are missing. Venous insufficiency can also produce sensations of warm feet, often at retiring, together with edema and an increase in local heat. Algodystrophy, during the inflammatory phase can also mimic ery thermalgia with intense pain and local modifications. Nevertheless. th e unilateral aspect and persistence of the symptoms together with the post-traumatic situation usually directs the diagnosis. Acrodynia is a rare disease caused by excessive mercury intake and should be discuss ed in children. Vasomotor impairment in the limbs is the main sign. Th e red color of the hands and feet is accompanied by intense paroxysmal burn-type pain. The diagnosis is confirmed by high mercury levels in urine. Fabry's disease is a hereditary sphingolipidosis transmitted on chromosome X rind occurs predominantly in men, often starting early i n childhood with burning sensation in the limbs. The diagnosis should be entertained in children with pseudoerythermalgia and is confirmed b y chromatographic search for abnormal sphingolipids in the urine (J Ma l Vasc 1996: 21: pages 84-87).