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红耳综合征:病例系列及文献复习。

Red ear syndrome: a case series and review of the literature.

机构信息

Medical College of Wisconsin, Milwaukee, USA.

Tufts Medical Center, Tufts University School of Medicine, Boston, USA.

出版信息

J Med Case Rep. 2024 Jul 9;18(1):327. doi: 10.1186/s13256-024-04485-4.

DOI:10.1186/s13256-024-04485-4
PMID:38978093
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11232128/
Abstract

BACKGROUND

Red Ear Syndrome is a burning sensation and erythema of the ear, associated with a various number of disorders including migraine, trigeminal neuralgia, autoimmune disorders etc. Theories for RES pathophysiology have developed from current understandings of comorbid conditions. Characterizing the underlying mechanism of RES is crucial for defining effective treatments.

CASE PRESENTATION

Three caucasian patients, ages 15, 47, and 67 years, with migraine, one with erythromelalgia are reported in this manuscript. RES pathophysiology is not fully understood due to its variable clinical presentation and numerous comorbid conditions, making it difficult to identify effective treatments.

CONCLUSION

RES seems to be largely treatment-resistant, and most options involve treating the associated disorders and minimizing pain. Further investigation of future cases should lead to a more comprehensive understanding of the fundamental cause of RES and, hopefully, successful treatments.

摘要

背景

红耳综合征是一种耳部灼热感和红斑,与包括偏头痛、三叉神经痛、自身免疫性疾病等多种疾病有关。RES 病理生理学的理论是从目前对伴发疾病的理解中发展而来的。表征 RES 的潜在机制对于确定有效的治疗方法至关重要。

病例介绍

本文报告了 3 名白人患者,年龄分别为 15 岁、47 岁和 67 岁,患有偏头痛,其中 1 名患有红斑性肢痛症。由于其临床表现多样且伴发疾病众多,RES 病理生理学尚未完全阐明,因此难以确定有效的治疗方法。

结论

RES 似乎对大多数治疗方法都有抗性,并且大多数选择都涉及治疗相关疾病和减轻疼痛。对未来病例的进一步研究应能更全面地了解 RES 的根本原因,并有望实现成功的治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/018a/11232128/999c1a6f8857/13256_2024_4485_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/018a/11232128/c01b583a200b/13256_2024_4485_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/018a/11232128/999c1a6f8857/13256_2024_4485_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/018a/11232128/c01b583a200b/13256_2024_4485_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/018a/11232128/999c1a6f8857/13256_2024_4485_Fig2_HTML.jpg

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本文引用的文献

1
Red ear syndrome presenting with vestibular migraine: case study and review of the literature.伴有前庭性偏头痛的红耳综合征:病例报告及文献综述
J Laryngol Otol. 2022 Dec;136(12):1330-1332. doi: 10.1017/S002221512100311X. Epub 2021 Oct 22.
2
Red Ear Syndrome: Case Series and Review of a Less Recognized Headache Disorder.红耳综合征:病例系列及对一种较少被认识的头痛障碍的综述
Ann Indian Acad Neurol. 2020 Sep-Oct;23(5):715-718. doi: 10.4103/aian.AIAN_1_20. Epub 2020 Apr 7.
3
Red ear syndrome in children: Review of literature and report of three cases.
儿童红耳综合征:文献复习与三例报告。
Int J Pediatr Otorhinolaryngol. 2021 Mar;142:110615. doi: 10.1016/j.ijporl.2021.110615. Epub 2021 Jan 6.
4
Review of primary and secondary erythromelalgia.原发性和继发性红斑肢痛症的综述。
Clin Exp Dermatol. 2019 Jul;44(5):477-482. doi: 10.1111/ced.13891. Epub 2019 Jan 4.
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Red Ear: Syndrome or Symptom?红耳:综合征还是症状?
Headache. 2018 Jun;58(6):885-891. doi: 10.1111/head.13333. Epub 2018 May 26.
6
Coexistence of Migraine Headache and Red Ear Syndrome.偏头痛与红耳综合征并存。
Noro Psikiyatr Ars. 2014 Sep;51(3):294. doi: 10.4274/npa.y7619. Epub 2014 Sep 1.
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Red Ear Syndrome.红耳综合征
Curr Pain Headache Rep. 2016 Mar;20(3):19. doi: 10.1007/s11916-016-0547-y.
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Spontaneous extracranial hemorrhagic phenomena in primary headache disorders: A systematic review of published cases.
Cephalalgia. 2016 Nov;36(13):1257-1267. doi: 10.1177/0333102415618951. Epub 2016 Jul 19.
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Red ear syndrome precipitated by a dietary trigger: a case report.饮食诱因引发的红耳综合征:一例报告
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The red ear syndrome.红耳综合征。
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