title: Successful treatment of adult-onset erythromelalgia with steroid pulse and pregabalin.
abstract: Adult-onset erythromelalgia (EM) is a rare disease characterized by episodic bouts of burning pain and erythema for which the optimal therapy is unclear. In this report, we describe a 68-year-old Japanese woman with adult-onset EM. Intravenous administration of methylprednisolone sodium succinate 1,000 mg/day dramatically improved her pain as evaluated by the visual analog scale. Although the patient's pain gradually developed again, it could be controlled with pregabalin. Our present case might suggest a possible, optimal therapy for adult-onset EM.
authors.affiliation: Department of Dermatology, Tohoku University Graduate School of Medicine, Sendai, Japan.
authors.forename: Aya
authors.initials: A
authors.lastname: Kakizaki
authors.forename: Taku
authors.initials: T
authors.lastname: Fujimura
authors.forename: Yumi
authors.initials: Y
authors.lastname: Kambayashi
authors.forename: Akiko
authors.initials: A
authors.lastname: Watabe
authors.forename: Setsuya
authors.initials: S
authors.lastname: Aiba
keywords: Erythromelalgia; Pregabalin; Steroid pulse