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Successful treatment of erythromelalgia with intrathecal hydromorphone and clonidine
1Department of Anesthesiology, University of California, Sacramento 95817, USA.
Objective:
The objective of this study was to determine if intractable pain from erythromelalgia could be successfully treated with intrathecal hydromorphone and clonidine.
Design:
A single case of pain from erythromelalgia refractory to multiple treatment modalities was examined and treated.
Setting:
The setting is an outpatient pain clinic at a major university teaching hospital.
Patient:
Our patient is an 82-year-old woman with hypertension and peripheral vascular disease.
Intervention:
Intrathecal opioid and an alpha2-agonist were administered.
Outcome Measures:
Outcome was determined by means of patient self-report during office follow-up visits.
Results And Conclusions:
Administration of intrathecal opioid and an alpha2-agonist can be effective in the treatment of the pain of erythromelalgia and offers an alternative pain treatment modality for patients with unremitting pain refractory to more conservative therapy.
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