Cohen J S
Department of Psychiatry, University of California, San Diego, USA.
J Am Acad Dermatol. 2000 Nov;43(5 Pt 1):841-7. doi: 10.1067/mjd.2000.109301.
Erythromelalgia is a rare condition that has remained an enigma diagnostically and therapeutically for decades. It has been assumed that erythromelalgia, which is characterized by hot, red, intensely painful feet or hands, may be the opposite of Raynaud's phenomenon. However, new research suggests that these two disorders are more similar than dissimilar. Erythromelalgia usually follows a chronic, sometimes progressive and disabling course. New evidence suggests that this may not be a disease entity at all, but a syndrome of dysfunctional vascular dynamics; recent studies demonstrate that this dysfunction is reversible in some patients. This review article presents the latest theories and successful treatments for erythromelalgia, and data from a survey of members of The Erythromelalgia Association, which was formed to provide information about erythromelalgia to doctors and patients.
红斑性肢痛症是一种罕见病症，几十年来在诊断和治疗方面一直是个谜。人们一直认为，以足部或手部发热、发红、剧痛为特征的红斑性肢痛症，可能与雷诺现象相反。然而，新的研究表明，这两种病症的相似之处多于不同之处。红斑性肢痛症通常呈慢性病程，有时会进展并导致残疾。新证据表明，这可能根本不是一种疾病实体，而是一种血管动力学功能失调综合征；最近的研究表明，这种功能失调在一些患者中是可逆的。这篇综述文章介绍了红斑性肢痛症的最新理论和成功治疗方法，以及对红斑性肢痛症协会成员进行调查的数据，该协会的成立旨在为医生和患者提供有关红斑性肢痛症的信息。
