Gifu University

education đź“Ť Gifu City, Japan
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Gifu University
2
EM Publications
4
EM Researchers

Associated Institutions

Gifu University Hospital
related
Tokai National Higher Education and Research System
parent

Erythromelalgia Researchers

Kumada K
1 EM publication • h-index: 10
Matsumoto-Miyazaki J
1 EM publication • h-index: 7
Okada H
1 EM publication • h-index: 35
Okura H
1 EM publication • h-index: 42

Publications

Successful Administration of Kampo Medicine and Acupuncture Treatment to Improve Erythromelalgia: A Case Report.

Kumada K, Matsumoto-Miyazaki J, Okada H, Okura H, Sato Y
Cureus •

Erythromelalgia is a rare disease characterized by a triad of recurrent burning pain, redness with pain, and hot flashes in the legs during attacks. We report the case of a 40-year-old woman who suffered from refractory erythromelalgia for 15 years and was successfully managed with Kampo medicine and acupuncture. Her pain was refractory to seven types of oral medications and intravenous lidocaine injections. Byakkokaninjinto was also administered for concomitant polydipsia in addition to acupuncture, unseiin, orengedokuto, and sokeikakketsuto. Because erythromelalgia has no established treatment, traditional Kampo medicine combined with acupuncture may help improve the quality of life of affected patients.

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A refractory case of secondary erythermalgia successfully treated with lumbar sympathetic ganglion block.

Seishima M, Kanoh H, Izumi T, Niwa M, Matsuzaki Y , et al.
The British journal of dermatology •

A 59-year-old Japanese man with myasthenia gravis, who had a 10-year history of temperature-sensitive pain in the lower extremities, i.e. improved by cooling and worsened by warming, consulted us because the pain had become intolerable during the previous 4 months. Bilateral erythema, swelling and large ulcers were noted on the calves, dorsal aspects of the feet, and soles. Laboratory data showed thrombocythaemia and a positive antibody to the acetylcholine receptor, but were negative for antinuclear and antiphospholipid antibodies. A diagnosis of secondary erythermalgia was made because of the clinical features, the laboratory data, and the lack of family history of this disease. Although steroid pulse therapy, oral aspirin and antiserotonin drugs were ineffective, bilateral lumbar sympathetic ganglion block succeeded in relieving the severe pain and curing the ulcers. The clinical course in our patient suggests that sympathetic ganglion block may be one of the most effective treatments for secondary erythermalgia. Although the mechanism of this effect is uncertain, microcirculation disturbance in secondary erythermalgia, if any, may be improved by this block.

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