Erythromelalgia: A Clue to the Diagnosis of Polycythemia vera
Katia Ongenae, A. Cecile J.W. Janssens, Lucien Noens, N. Wieme, M.L. Geerts, Hilde Beele, J.M. Naeyaert
Abstract
Katia Ongenae, A. Cecile J.W. Janssens, Lucien Noens, N. Wieme, M.L. Geerts, Hilde Beele, J.M. Naeyaert
Abstract
We report the case of a 74-year-old woman with recurrent episodes of symmetrical congestion and erythema in the distal lower legs causing a burning distress. Laboratory and clinical investigations revealed an underlying myeloproliferative disorder. The cutaneous symptoms were atypical of erythromelalgia. Salicylates and treatment of the underlying polycythemia were able to eliminate the skin lesions but not entirely suppress the subjective discomfort.
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We report the case of a 74-year-old woman with recurrent episodes of symmetrical congestion and erythema in the distal lower legs causing a burning distress. Laboratory and clinical investigations revealed an underlying myeloproliferative disorder. The cutaneous symptoms were atypical of erythromelalgia. Salicylates and treatment of the underlying polycythemia were able to eliminate the skin lesions but not entirely suppress the subjective discomfort.
Key concepts: Erythromelalgia, Polycythemia vera, Medicine, Dermatology, Erythema, Myeloproliferative Disorders, Pathology, Internal medicine