Erythromelalgia

The disease is outlined in the distal limb paroxysmal telangiectasia, skin temperature increased, color flushes and intense burning pain on a levy of autonomic nervous system diseases. Cause pathogenesis of the disease is still unclear. Cold may lead to acromegaly capillaries of the systolic and diastolic dysfunction. As acromegaly small artery, blood flow increased significantly, local congestion, increased vascular tension within, oppression or stimulate nerve endings and neighboring artery arising from intense pain before. Due to a sudden temperature drop or cold from long-distance march and evoked. Clinical manifestations of the disease was particularly prevalent in the 20-40-year-old young adults, men more than women. Onset may be anxious ease, while more involved on both sides of acromegaly, a biped more common. Performance of the toe, foot, finger and palm redness, arterial pulse increase, skin temperature, accompanied difficult to endure the burning pain. More at night attack or a heavier, typically for a few hours. Heating, environmental temperature, movement, line up, right foot drop or limb, patted may also lead to the onset of clinical symptoms or increased; stationary supine rest, Chigaohuanshi, limb exposure to cold air or immersion in cold water can reduce or alleviate pain. Patients do not want to wear shoes, socks and will be kept in the limbs, the fear of doctors. Acromegaly may diminish any objective sense, refers to (toe) A thickening, muscle atrophy, but rarely acromegaly ulcers, gangrene. Course of a long and (or) illness severe symptoms of acromegaly not limited to, and can be expanded and extended to the entire lower extremity arm. Diagnosis and differential diagnosis of certain factors, paroxysmal emerging biped red, swelling, heat, pain and other features, you can often make a diagnosis. But with chilblains, obliterans, polycythemia vera, Raynaud's phenomenon, diabetic neuropathy, Spinal Tuberculosis and toxic peripheral neuritis and other equivalent identification. Prognosis of the disease often mitigation, relapse, was chronic way. Most good prognosis, and rehabilitation. For the cold season, the attention of acromegaly insulation, footwear to be dry; Long ride, standing, post-walk, to the timely replacement of postures, to get off regular activities can prevent or reduce the onset or alleviate the symptoms. Mainly to symptomatic treatment, the attack can give local cold compress or cold water immersion limb to relieve symptoms; Chigaohuanshi. patted avoid overheating or bad stimulation; Oral reserpine, chlorpromazine, Lifestyle equality may improve symptoms. Sacral canal lumbar sympathetic nerve block anesthesia has a good effect.