[Pain management in children with erythromelalgia: case report].

Abstract:

:Erythromelalgia is a neuropathic pain syndrome due to an autosomal dominant gene, characterized by erythema, increased skin temperature and burning pain in hands and feet, whose treatment is often unsatisfactory. In this paper, we report a case of a 9 years old female patient whose first episode of burning pain, erythema and edema of the hands, without triggering factors, had instant relief after immersion in cold water. She presented with systemic arterial hypertension and had seizures. The patient was treated with gabapentin (150mg.8h-1) and amitriptyline (12.5mg) orally, intravenous lidocaine infusion (120mg), without relieving pain complaints. Due to the lack of response to the proposed treatment, it was decided to gradually reduce these medications and to introduce carbamazepine (200mg) orally and, after 4 days of treatment, there was complete relief of the manifestations.

journal_name

Rev Bras Anestesiol

authors

Bortoli EI,Sakata RK

doi

10.1016/j.bjan.2017.12.009

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

531-534

issue

5

eissn

0034-7094

issn

1806-907X

pii

S0034-7094(17)30099-5

journal_volume

68

pub_type

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