Sympathetically maintained pain of the digits in porphyria cutanea tarda relieved by i.v. regional guanethidine.
A case of a sympathetically maintained pain of the tips of the fingers in a 39-year-old man with porphyria cutanea tarda is presented. Occupational vibrating trauma is the presumed cause. The successful treatment with intravenous regional guanethidine is reported.
Owen
J E L
JEL
Pain Clinic, Group Health Centre, Sault Ste. Marie, Ont.Canada.
D000328:Adult; D005385:Fingers; D006145:Guanethidine / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D007275:Injections, Intravenous; D008297:Male; D009784:Occupational Diseases / Q000188:drug therapy; D010146:Pain / Q000188:drug therapy* / Q000209:etiology / Q000503:physiopathology; D011164:Porphyrias / Q000150:complications*; D011166:Porphyrins / Q000652:urine; D013564:Sympathetic Nervous System / Q000502:physiology*
D011166:Porphyrins; D006145:Guanethidine