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Journal of Oral & Facial Pain and Headache



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J Orofac Pain 33 (2019), No. 3     23. July 2019
J Orofac Pain 33 (2019), No. 3  (23.07.2019)

Online Article, Page e15-e18

Online Article: Erythermalgia Involving the Face Alone: Two Case Reports
Liu, Juan-Hua / Weng, Zhi-Sheng / Luo, Di-Qing / Zhao, Yu-Kun / Wu, Hui-Hui / Huang, Ying-Biao
Erythermalgia is a rare cutaneous disease characterized by episodic attacks of burning pain, erythema, and increased temperature. It primarily involves the extremities, with possible extensions to the ears, face, neck, and scrotum; in rare instances, it may afflict the ears, face, or the scrotum alone. Although various medications alone or in different combinations have been tried with significant variations in response, no recommended therapeutics have been established until very recently. This report presents two case histories of a 20-year-old and a 46-year-old woman, respectively, who displayed intermittent facial erythema associated with warmth and pain during the episodes and who presented normal between episodes. Both had good response to combinative treatments of systemic medication and topical lidocaine compounds. The younger was diseasefree after more than 4 years of follow-up, and the older had recurrence after stopping the treatment.
Conclusion: Erythermalgia may involve the face alone, and combinative approaches may be of choice for its treatment. Topical lidocaine compounds are considered to be a good option for palliative treatment.

Keywords: erythermalgia, erythromelalgia, face, pain, treatment