Lee Jin Young, Sim Woo Seog, Kang Ryung A, Lee Eun Kyung, Yang Jae Young, Kim Dae Yoon
Department of Anesthesiology and Pain Medicine, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Korea.
Pediatr Dermatol. 2017 Jan;34(1):e47-e50. doi: 10.1111/pde.12985. Epub 2016 Oct 4.
Erythromelalgia is often refractory and resistant to many forms of treatment. Numerous therapeutic options have been tried, but effective treatment remains elusive. The sympathetic nervous system has been involved in various painful conditions of neuropathic, vascular, and visceral origin. Sympathetic block is helpful in making a diagnosis and managing pain. We report a case of excellent pain relief after lumbar sympathetic pulsed radiofrequency treatment in a patient with primary erythromelalgia of the lower extremities. This case suggests the viability of pulsed radiofrequency treatment in patients with erythromelalgia.
红斑性肢痛症通常难以治疗且对多种治疗形式具有抗性。人们已经尝试了众多治疗选择，但有效的治疗方法仍然难以找到。交感神经系统参与了多种源于神经病变、血管病变和内脏病变的疼痛状况。交感神经阻滞有助于诊断和控制疼痛。我们报告了一例下肢原发性红斑性肢痛症患者在接受腰交感神经脉冲射频治疗后疼痛得到显著缓解的病例。该病例表明脉冲射频治疗对红斑性肢痛症患者具有可行性。
