Ma JE

UCLA Medical Center

2
EM Publications
6
h-index
(143 citations, 10 total works)

Research Topics

Pain Mechanisms and Treatments (2) Oral Health Pathology and Treatment (2) Musculoskeletal pain and rehabilitation (1) Sarcoma Diagnosis and Treatment (1) Head and Neck Cancer Studies (1)

Erythromelalgia Publications

Procedural interventions for erythromelalgia: A narrative review.

Lee JU, Ma JE, Sartori Valinotti JC, Rooke TW, Sandroni P , et al.
Vascular medicine (London, England)

Erythromelalgia is a rare disorder characterized by episodic burning pain with redness and warmth of the extremities. Topical and systemic medications are the mainstay of management. We reviewed the published evidence for using procedural interventions to manage erythromelalgia, including their proposed mechanism of action and possible adverse effects, and included information in this review on epidural infusion, sympathetic ganglion block, sympathectomy, pulsed radiofrequency, spinal cord stimulation, dorsal root ganglion stimulation, brain stimulation, transcranial magnetic stimulation, and botulinum toxin injections. Both successful and unsuccessful outcomes have been reported. Although these procedural interventions extend the therapeutic options for erythromelalgia, the evidence for their use is limited. Case reports and small case series comprise most of the evidence. Based on our review, a multidisciplinary approach to management may be needed for patients with erythromelalgia.

Erythromelalgia: A Review of Medical Management Options and Our Approach to Management.

Ma JE, Lee JUJ, Sartori-Valinotti JC, Rooke TW, Sandroni P , et al.
Mayo Clinic proceedings

Erythromelalgia (EM) is a rare disorder characterized by episodic, burning pain associated with erythema and warmth of the extremities. The feet and hands are most commonly affected. The pain can be so severe that patients may engage in behaviors, sometimes extreme, to cool the affected areas and change their lifestyle to avoid precipitating factors, such as exercise and increased ambient heat. A literature search was performed with PubMed and MEDLINE with the search term erythromelalgia. Inclusion criteria were studies on EM published after 1985 until January 1, 2022, in the English language and studies that provided information on medical treatment of EM. Studies were excluded if they were duplicates or did not include treatment data. No guidelines exist for the treatment of this complex disorder. Lifestyle modifications and pharmacologic treatments (topical and systemic) are discussed in this article, which provides a comprehensive review of published medical management options for erythromelalgia and a proposed approach to management.