Abstract

Case PresentationA 37-year-old man with severe obstructive sleep apnea presented to the emergency department with burning pain, redness and swelling in his hands and feet, worsening for several weeks. Pertinent laboratory studies revealed polycythemia.DiscussionErythromelalgia is a clinical diagnosis characterized by painful burning, erythema, warmth, and edema usually involving the distal extremities. Therapeutic goals are focused on symptom reduction, while also managing the underlying condition in cases of secondary erythromelalgia. Pharmacological and non-pharmacological therapies have proven to be of limited success.

Highlights

  • Case Presentation: A 37-year-old man with severe obstructive sleep apnea presented to the emergency department with burning pain, redness and swelling in his hands and feet, worsening for several weeks

  • Erythromelalgia is a clinical diagnosis characterized by painful burning, erythema, warmth, and edema usually involving the distal extremities

  • Therapeutic goals are focused on symptom reduction, while managing the underlying condition in cases of secondary erythromelalgia

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Summary

The Case of the Red Extremities

Section Editor: Manish Amin, DO Submission History: Submitted July 17, 2021; Revision received September 20, 2021; Accepted October 8, 2021 Electronically published January 28, 2022 Full text available through open access at http://escholarship.org/uc/uciem_cpcem. Case Presentation: A 37-year-old man with severe obstructive sleep apnea presented to the emergency department with burning pain, redness and swelling in his hands and feet, worsening for several weeks.

Discussion
DISCUSSION
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