title: Recurrent facial erythema with burning sensation and increased temperature: a variant of erythromelalgia or a new entity?
abstract: OBJECTIVE
  Erythromelalgia is a rare clinical syndrome characterized by episodic attacks of burning pain, erythema, and increased temperature, primarily affecting the extremities, and in rare instances, involving the ear, face, neck, and the scrotum. The dermatoscopic features of erythromelalgia in a case with solely facial involvement have never been described previously.
  
  
  METHODS
  We describe a 14-year-old female who presented with erythema, burning sensation, and warmth on her face only, which mimic the features of erythromelalgia. Physical examination showed higher temperature on the involved cheeks than on axillas during the episode, while the temperature on both areas was the same between episodes. Dermatoscope showed more dilated vessels inside the erythema during the episodes than between the episodes. The symptoms had excellent response to the combination treatment of gabapentin, indomethacin, and topical lidocaine compounds.
  
  
  CONCLUSIONS
  The present case is considered to be a variant of erythromelalgia. Its erythema may be resulted from the dilated vessels. Combination of modalities may provide effective management for erythromelalgia. "Erythermalgia" may be better than "erythromelalgia" to describe such conditions.
authors.affiliation: Department of Dermatology, Huangpu Hospital of The First Affiliated Hospital.
authors.forename: Di-Qing
authors.initials: DQ
authors.lastname: Luo
authors.forename: Yu-Kun
authors.initials: YK
authors.lastname: Zhao
authors.forename: Qing-Fang
authors.initials: QF
authors.lastname: Xu
authors.forename: Xiang-Qun
authors.initials: XQ
authors.lastname: He
authors.forename: Liang-Cai
authors.initials: LC
authors.lastname: Wu
mesh_terms: D000293:Adolescent; D004890:Erythema / Q000150:complications / Q000175:diagnosis*; D004916:Erythromelalgia / Q000150:complications / Q000175:diagnosis*; D005157:Facial Pain / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006801:Humans; D010146:Pain / Q000150:complications / Q000175:diagnosis*; D012008:Recurrence
keywords: Dermatoscope; Erythermalgia; Erythromelalgia; Face; Pain; Treatment