患者足部红斑和发绀伴发红细胞增多性红斑肢痛症。
Erythromelalgia in a patient with feet erythema and cyanosis.
机构信息
Department of Family Medicine, American University of Beirut Medical Center, Beirut, Lebanon
Department of Family Medicine, Saint George Hospital University Medical Center, Beirut, Lebanon.
出版信息
BMJ Case Rep. 2023 Jan 20;16(1):e253786. doi: 10.1136/bcr-2022-253786.
Erythromelalgia is a rare disease characterised by a triad of a clinical syndrome of redness, warmth and painful extremities. We present the case of a male adolescent with no prior medical history who presents to our family medicine clinic with a 3-month history of bilateral feet erythema followed by episodes of cyanosis in bilateral toes. Given his history, the findings on clinical examination, and the lack of any pathology on the diagnostic testing, the patient is diagnosed with erythromelalgia. He is then counselled on both pharmacological and non-pharmacological treatments for his condition and is discharged on non-pharmacological treatment options such as leg elevation, cooling with a fan and limiting exposure to heat. The patient is also advised to perform an annual complete blood count given the association of erythromelalgia with myeloproliferative disorders.
红斑性肢痛症是一种罕见的疾病，其特征为三联征的临床综合征，包括发红、发热和疼痛的四肢。我们报告了一例无既往病史的男性青少年病例，他因双侧足部红斑持续 3 个月，随后出现双侧脚趾发绀而到我们的家庭医学诊所就诊。根据他的病史、临床检查结果以及诊断性检查无任何病理学发现，该患者被诊断为红斑性肢痛症。然后，我们对他的病情进行了药物和非药物治疗方面的咨询，并为他开出了非药物治疗方案，如腿部抬高、用风扇降温以及限制暴露于热源。鉴于红斑性肢痛症与骨髓增生性疾病有关，我们还建议该患者每年进行一次全血细胞计数检查。
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