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Erythermalgia Involving the Face Alone: Two Case Reports
Journal of Oral & Facial Pain and Headache
|April 25, 2019
Summary
Erythermalgia, a rare skin condition, can affect the face alone. Combined treatments, including topical lidocaine, show promise for managing facial erythermalgia symptoms effectively.
Area of Science:
- Dermatology
- Clinical Medicine
Background:
- Erythermalgia is a rare cutaneous condition causing episodic burning pain, erythema, and increased temperature, typically affecting extremities.
- While various treatments exist, no definitive therapeutic approach has been established for erythermalgia.
Observation:
- This report details two women with intermittent facial erythema, warmth, and pain, consistent with erythermalgia affecting the face exclusively.
- Patients presented with normal skin findings between symptomatic episodes.
Findings:
- Both patients responded well to a combination of systemic medications and topical lidocaine compounds.
- The younger patient achieved long-term remission, while the older patient experienced recurrence upon treatment cessation.
Implications:
- Facial erythermalgia is a distinct presentation of the condition, potentially involving the face as the sole affected area.
- Combinative treatment strategies, incorporating topical lidocaine, offer a viable option for managing facial erythermalgia, providing palliative relief.
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