• J Drugs Dermatol · Mar 2008

    Case Reports

    Erythromelalgia of the ears: an unusual variant and response to therapy.

    • David R Berk and Arthur Z Eisen.
    • Division of Dermatology, Washington University School of Medicine, St. Louis, MO 63110, USA. DBerk@im.wustl.edu
    • J Drugs Dermatol. 2008 Mar 1;7(3):285-7.

    AbstractErythromelalgia is characterized by episodes of erythematous, warm, burning acral skin, which is exacerbated by heat and relieved by cold. Erythromelalgia usually affects the feet and/or hands but, although rare, erythromelalgia may affect the ears. The authors present a 65-year-old woman with erythromelalgia of the ears with disabling symptoms whose diagnosis was delayed for 6 years. The patient failed to respond to numerous therapies before rapidly improving with oral amitriptyline and amitriptyline 1% to 2% and ketamine 0.5% to 1% topical gel.

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