Stellate Ganglion Block for the Treatment of Facial Erythromelalgia: A Case Report

Erythromelalgia (EM) is a rare disease characterized by recurrent episodes of erythema, pain, and burning dysesthesia, most often involving the extremities. A rare, atypical presentation involves the face. There are no current guidelines, with overall lack of consensus for the treatment of EM, and therapies are often formulated on a case-by-case basis.

We describe the case of a 48-year-old woman who presented with facial EM causing erythema and burning pain with significant impact on quality of life, and was successfully treated with stellate ganglion block.

This case highlights that stellate ganglion blocks can be an effective treatment option for patients with facial EM, alongside other conservative therapies that may include medical management.