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Mark D. P. Davis, MB, MRCPI; Paola Sandroni, MD, PhD
From the Departments of Dermatology and Neurology, Mayo Clinic, Rochester, Minn.

Arch Dermatol. 2002;138:17-19.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 15-year-old white girl had continuous mild discomfort associated with coolness and slight cyanosis of both feet. Intermittently, whenever she exercised, her feet became bright red and extremely painful, consistent with intermittent episodes of erythromelalgia (Figure 1). The discomfort markedly affected her daily activities: she stopped hiking, playing sports, marching in the high school band, and attending physical education classes. She could walk for only 10 minutes in the local shopping mall before her feet became red, hot, and too painful to continue walking. The vascular studies (described in detail elsewhere¹) performed included measurement of (1) blood pressure in affected extremities, (2) transcutaneous oxygen, and (3) temperature in the lower limb and digits. Because the patient's symptoms were not elicited during these studies, the findings were unremarkable.

Figure appears in full text version. Figure 1. Bright red legs and feet during an episode . . . [Full Text of this Article]

THERAPEUTIC CHALLENGE

SOLUTION

COMMENT



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