• Janice E Ma, Jinnee U J Lee, Julio C Sartori-Valinotti, Thom W Rooke, Paola Sandroni, and DavisMark D PMDPDepartment of Dermatology, Mayo Clinic, Rochester, MN. Electronic address: davis.mark2@mayo.edu..
• Division of Dermatology, Harbor-UCLA Medical Center, Torrance, CA.
• Mayo Clin. Proc. 2023 Jan 1; 98 (1): 136149136-149.

AbstractErythromelalgia (EM) is a rare disorder characterized by episodic, burning pain associated with erythema and warmth of the extremities. The feet and hands are most commonly affected. The pain can be so severe that patients may engage in behaviors, sometimes extreme, to cool the affected areas and change their lifestyle to avoid precipitating factors, such as exercise and increased ambient heat. A literature search was performed with PubMed and MEDLINE with the search term erythromelalgia. Inclusion criteria were studies on EM published after 1985 until January 1, 2022, in the English language and studies that provided information on medical treatment of EM. Studies were excluded if they were duplicates or did not include treatment data. No guidelines exist for the treatment of this complex disorder. Lifestyle modifications and pharmacologic treatments (topical and systemic) are discussed in this article, which provides a comprehensive review of published medical management options for erythromelalgia and a proposed approach to management.Copyright © 2022 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

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