Endoscopic lumbar sympathectomy as a treatment option for primary erythromelalgia - case report and review.

IF 0.8 Q4 PERIPHERAL VASCULAR DISEASE Jornal Vascular Brasileiro Pub Date : 2023-01-01 DOI:10.1590/1677-5449.202200952
Marcelo de Paula Loureiro, Pietro Maran Novais, João Augusto Nocera Paulin, Daniel Benzecry de Almeida, Arlindo Nascimento de Lemos
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Abstract

Erythromelalgia is a rare disease, involving pain, edema, redness, and hyperthermia in the limbs. It is extremely refractory to drugs, has no defined treatment, and causes psychological comorbidities in the patient. We describe a case of erythromelalgia involving a 17-year-old boy who had been suffering from the disease for almost 4 years prior to finding an effective treatment. A bilateral endoscopic lumbar sympathectomy was performed, limited to L2 and L3 resections. Four weeks after the procedure, the patient's symptoms were significantly mitigated and at 8 months follow-up he remained almost asymptomatic. Endoscopic lumbar sympathectomy was an effective treatment for primary erythromelalgia in this teenager, with exceptional reduction of his symptoms.

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内镜下腰交感神经切除术作为原发性红斑性肢痛症的治疗选择-病例报告和回顾。
红斑性肢痛是一种罕见的疾病,包括四肢疼痛、水肿、发红和高热。它对药物极其难治,没有明确的治疗方法,并导致患者的心理合并症。我们描述一个病例的红斑性肢痛症涉及一个17岁的男孩谁已经患有这种疾病近4年之前找到有效的治疗。行双侧内窥镜腰椎交感神经切除术,仅限于L2和L3切除术。手术后4周,患者症状明显减轻,随访8个月,患者几乎无症状。内窥镜腰椎交感神经切除术是一种有效的治疗原发性红斑性肢痛在这个青少年,他的症状明显减轻。
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来源期刊
Jornal Vascular Brasileiro
Jornal Vascular Brasileiro Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.20
自引率
0.00%
发文量
57
审稿时长
20 weeks
期刊介绍: The Jornal Vascular Brasileiro is editated and published quaterly to select and disseminate high-quality scientific contents concerning original research, novel surgical and diagnostic techniques, and clinical observations in the field of vascular surgery, angiology, and endovascular surgery. Its abbreviated title is J. Vasc. Bras., which should be used in bibliographies, footnotes and bibliographical references and strips.
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