Drenth J P, Michiels J J, van Joost T, Vuzevski V D
Department of Hematology, University Hospital, Erasmus University, Rotterdam, The Netherlands.
J Rheumatol. 1993 Jan;20(1):144-6.
Secondary erythermalgia, as a symptom of an underlying illness, is characterized by burning pain in the extremities together with local erythema and warmth. The onset and clinical symptomatology of secondary erythermalgia in a woman with a 20 year history of systemic lupus erythematosus (SLE) is described. Histopathologic examination of affected skin areas revealed an inflammatory process compatible with vasculitis. These findings completely differ from the histopathology in erythromelalgia and in primary erythermalgia. The erythermalgic symptoms completely resolved by treatment with prednisone. We conclude that secondary erythermalgia in SLE in our patient was associated with cutaneous vasculitis.
继发性红斑性肢痛症作为一种潜在疾病的症状，其特征为四肢灼痛并伴有局部红斑和发热。本文描述了一位有20年系统性红斑狼疮（SLE）病史的女性患者继发性红斑性肢痛症的发病情况及临床症状。对受累皮肤区域的组织病理学检查显示存在与血管炎相符的炎症过程。这些发现与红斑性肢痛症及原发性红斑性肢痛症的组织病理学完全不同。通过泼尼松治疗，红斑性肢痛症状完全缓解。我们得出结论，该患者SLE中的继发性红斑性肢痛症与皮肤血管炎有关。
