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Erythromelalgia and Pregnancy

Erythromelalgia and Pregnancy Abstract A previously healthy 31-year-old Oriental woman was admitted to the Northwestern Memorial Hospital (Chicago, Ill) obstetrical service at 30½ weeks' gestation for management of severe preeclampsia. In the 2 weeks prior to admission, her blood pressure had risen to 160/110 mm Hg, and she had experienced increasing edema, proteinuria, and weight gain. In the hospital, the patient was put on a regimen of bed rest, and her blood pressure was controlled with magnesium sulfate and hydralazine. Induction of labor with pitocine was initiated and, on the second hospital day, she delivered an apparently healthy, though premature, baby boy. The child was admitted to the neonatal intensive care unit where temperature support and nasogastric tube feedings were provided. Included in these feedings was the mother's breast milk, which she pumped daily as she intended to breast-feed once her son developed an adequate suck response. On the third postpartum day, a routine References 1. Graves RJ. Clinical Lectures on the Practice of Medicine . Dublin, Ireland: Fannin and Co; 1834. 2. Mitchell SW. On a rare vasomotor neurosis of the extremities and on the maladies with which it may be confounded . Am J Med Sci. 1878;76:17-36.Crossref 3. Brown G. Erythromelalgia and other disturbances of the extremities accompanied by vasodilation and burning . Am J Med Sci. 1932;183:468.Crossref 4. Smith LA, Allen EV. Erythermalgia (erythromelalgia) of extremities: syndrome characterized by redness, heat, and pain . Am Heart J. 1938;16:175-188.Crossref 5. Babb RR, Alarcon-Segovia D, Fairbairn JF II. Erythermalgia: review of 51 cases . Circulation. 1964;29:136-141.Crossref 6. Alarcon-Segovia D, Babb RR, Fairbairn JF II, et al. Erythermalgia: a clue to the early diagnosis of myeloproliferative disorders . Arch Intern Med. 1966;117:511-515.Crossref 7. Levine AM, Gustafson PR. Erythromelalgia: case report and literature review . Arch Phys Med Rehabil. 1987;68:119-121. 8. Michiels JJ, Abels J, Steketee J, Van Vliet HHDM, Vozevski VD. Erythromelalgia caused by platelet-mediated arteriolar inflammation and thrombosis in thrombocythemia . Ann Intern Med. 1985;102:466-471.Crossref 9. Jorgensen HP, Sondergaard T. Pathogenesis of erythromelalgia . Arch Dermatol . 1978;114:112-114.Crossref 10. Kurzrock R, Cohen PR. Erythromelalgia and myeloproliferative disorders . Arch Intern Med. 1989;149:105-109.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Erythromelalgia and Pregnancy

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References (11)

Publisher
American Medical Association
Copyright
Copyright © 1990 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1990.01670260027003
Publisher site
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Abstract

Abstract A previously healthy 31-year-old Oriental woman was admitted to the Northwestern Memorial Hospital (Chicago, Ill) obstetrical service at 30½ weeks' gestation for management of severe preeclampsia. In the 2 weeks prior to admission, her blood pressure had risen to 160/110 mm Hg, and she had experienced increasing edema, proteinuria, and weight gain. In the hospital, the patient was put on a regimen of bed rest, and her blood pressure was controlled with magnesium sulfate and hydralazine. Induction of labor with pitocine was initiated and, on the second hospital day, she delivered an apparently healthy, though premature, baby boy. The child was admitted to the neonatal intensive care unit where temperature support and nasogastric tube feedings were provided. Included in these feedings was the mother's breast milk, which she pumped daily as she intended to breast-feed once her son developed an adequate suck response. On the third postpartum day, a routine References 1. Graves RJ. Clinical Lectures on the Practice of Medicine . Dublin, Ireland: Fannin and Co; 1834. 2. Mitchell SW. On a rare vasomotor neurosis of the extremities and on the maladies with which it may be confounded . Am J Med Sci. 1878;76:17-36.Crossref 3. Brown G. Erythromelalgia and other disturbances of the extremities accompanied by vasodilation and burning . Am J Med Sci. 1932;183:468.Crossref 4. Smith LA, Allen EV. Erythermalgia (erythromelalgia) of extremities: syndrome characterized by redness, heat, and pain . Am Heart J. 1938;16:175-188.Crossref 5. Babb RR, Alarcon-Segovia D, Fairbairn JF II. Erythermalgia: review of 51 cases . Circulation. 1964;29:136-141.Crossref 6. Alarcon-Segovia D, Babb RR, Fairbairn JF II, et al. Erythermalgia: a clue to the early diagnosis of myeloproliferative disorders . Arch Intern Med. 1966;117:511-515.Crossref 7. Levine AM, Gustafson PR. Erythromelalgia: case report and literature review . Arch Phys Med Rehabil. 1987;68:119-121. 8. Michiels JJ, Abels J, Steketee J, Van Vliet HHDM, Vozevski VD. Erythromelalgia caused by platelet-mediated arteriolar inflammation and thrombosis in thrombocythemia . Ann Intern Med. 1985;102:466-471.Crossref 9. Jorgensen HP, Sondergaard T. Pathogenesis of erythromelalgia . Arch Dermatol . 1978;114:112-114.Crossref 10. Kurzrock R, Cohen PR. Erythromelalgia and myeloproliferative disorders . Arch Intern Med. 1989;149:105-109.Crossref

Journal

Archives of Dermatology – American Medical Association

Published: Feb 1, 1990

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