title: [Acute erythromelalgia with hypertension in a 5-year old boy].
abstract: BACKGROUND
  Burning pain of red and warm hands and/or feet are the classical symptoms of erythromelalgia.
  
  
  METHODS
  We describe the symptoms of acute idiopathic erythromelalgia and arterial hypertension in a five-year-old boy. Five days after a gastroenteritis the patient developed burning hands and feet in combination with arterial hypertension. Typically continuous cooling of all affected limbs was necessary to relieve the pain. Drug therapy with sodium nitroprusside only relieved the pain and dropped the blood pressure temporarily. Five weeks after onset of the disease all symptoms disappeared and the patient is still free of complaints (follow up period: 2 years). In the view of the presented case we discuss the differential diagnoses as well as therapeutical options.
authors.affiliation: Universitätsklinik für Kinder- und Jugendheilkunde, Karl Franzens Universität Graz, Osterreich. werner.zenz@kfunigraz.ac.at
authors.forename: W
authors.initials: W
authors.lastname: Zenz
authors.forename: B
authors.initials: B
authors.lastname: Zöhrer
authors.forename: G
authors.initials: G
authors.lastname: Zobel
authors.forename: C
authors.initials: C
authors.lastname: Schulze-Bauer
mesh_terms: D000208:Acute Disease; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D002675:Child, Preschool; D004916:Erythromelalgia / Q000209:etiology* / Q000628:therapy; D005759:Gastroenteritis / Q000150:complications*; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000209:etiology*; D008297:Male; D009599:Nitroprusside / Q000627:therapeutic use*; D012075:Remission, Spontaneous
chemical_list: D000959:Antihypertensive Agents; D009599:Nitroprusside
vernacular_title: Akute Erythromelalgie mit Hypertonie bei einem 5jährigen Knaben.