Assaf Raymen Rammy, Winters Kelly
Harbor UCLA Medical Center, Department of Pediatric Emergency Medicine, Torrance, CA.
Children's Hospital of Orange County, Emergency Medicine Specialists of Orange County, Orange, CA.
J Educ Teach Emerg Med. 2022 Jan 15;7(1):V31-V34. doi: 10.21980/J8BD2K. eCollection 2022 Jan.
Cellulitis is among the more common conditions diagnosed and treated within pediatric emergency departments. However, unusual distribution, recurrence, and/or poor response to antibiotics may point towards another pathologic process. This case presentation illustrates a teenager with recurrent episodes of painful erythematous and swollen extremities misdiagnosed repeatedly as cellulitis. Careful history, exam, laboratory evaluation and rheumatologist consultation aided in making the correct diagnosis of erythromelalgia, which was successfully treated with supportive measures. This report reviews a rare presentation of erythromelalgia, as well as its pathophysiology, recommended therapies, and common misdiagnoses.
Painful extremities; recurrent swelling; erythromelalgia.
蜂窝织炎是儿科急诊科诊断和治疗的较为常见的病症之一。然而，不寻常的分布、复发和/或对抗生素反应不佳可能指向另一种病理过程。本病例报告描述了一名青少年，其四肢反复出现疼痛性红斑和肿胀，多次被误诊为蜂窝织炎。详细的病史、检查、实验室评估以及风湿科医生的会诊有助于正确诊断为红斑性肢痛症，通过支持性措施成功治愈。本报告回顾了红斑性肢痛症的罕见表现、病理生理学、推荐治疗方法以及常见误诊情况。
四肢疼痛；反复肿胀；红斑性肢痛症。
