PASCAL PRIOLLET, M.D.; PATRICK BRUNEVAL, M.D.; ISABELLE LAZARETH, M.D.; MICHEL VAYSSAIRAT, M.D.; EDOUARD HOUSSET, M.D.; MICHEL BARTHELEMY, M.D.
To the editor: Michiels and colleagues (1) postulate in a recent issue that erythromelalgia associated with thrombocythemia is caused by platelet-mediated arteriolar inflammation. They emphasize that occlusive arteriolar changes play a part in the pathogenesis of erythromelalgia (1, 2). We have recently seen a case of erythromelalgia without arteriolar changes.
A 19-year-old woman had had recurrent attacks of burning and stinging pain involving the lower extremities, particularly her feet, since 1979. These attacks were accompanied by red discoloration. The patient has noticed that her symptoms could be relieved by cooling her feet. These symptoms were similar to those previously described
PRIOLLET P, BRUNEVAL P, LAZARETH I, VAYSSAIRAT M, HOUSSET E, BARTHELEMY M. Erythromelalgia Without Arteriolar Changes. Ann Intern Med. ;103:639. doi: 10.7326/0003-4819-103-4-639_1
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Published: Ann Intern Med. 1985;103(4):639.
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