title: Erythromelalgia following influenza vaccine in a child.
abstract: Erythromelalgia is a rare disease characterised by palmar and plantar erythema, burning pain and local increases in temperature. Erythromelalgia in adults most commonly appears secondary to myeloproliferative disorders, essential thrombocytosis and polycythemia vera; however, in children primary forms predominate. Erythromelalgia in children is characterised by a chronic relapsing course, usually refractory to treatment. We describe a case of erythromelalgia which developed in a 4.5 year old girl following influenza vaccination. Low dose aspirin, carbamazepine and propranolol induced a rapid resolution of the syndrome.
authors.affiliation: Paediatric Department B, Chaim Sheba Medical Centre, Tel Hashomer, Israel.
authors.forename: I
authors.initials: I
authors.lastname: Confino
authors.forename: J H
authors.initials: JH
authors.lastname: Passwell
authors.forename: S
authors.initials: S
authors.lastname: Padeh
mesh_terms: D001241:Aspirin / Q000627:therapeutic use; D002220:Carbamazepine / Q000627:therapeutic use; D002675:Child, Preschool; D004359:Drug Therapy, Combination; D004916:Erythromelalgia / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006801:Humans; D007252:Influenza Vaccines / Q000009:adverse effects*; D011433:Propranolol / Q000627:therapeutic use
chemical_list: D007252:Influenza Vaccines; D002220:Carbamazepine; D011433:Propranolol; D001241:Aspirin