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Acute paediatrics
Erythromelalgia: an endothelial disorder responsive to sodium nitroprusside
  1. M K H Chan1,
  2. A T Tucker2,
  3. S Madden1,
  4. C E M Golding1,
  5. D J Atherton1,
  6. M J Dillon1
  1. 1Departments of Nephrology, Dermatology, and Psychological Medicine, Great Ormond Street Hospital for Children, London WC1N 3JH, UK
  2. 2Clinical Microvascular Unit, St Bartholomew’s Hospital, London, UK
  1. Correpondence to:
    Professor M J Dillon, Renal Unit, Great Ormond Street Hospital for Children, London WC1N 3JH, UK;
    M.Dillon{at}ich.ucl.ac.uk

Abstract

Erythromelalgia is an unusual syndrome of painful vasodilatation. Aetiopathology is probably different in children and adults. Presentation can be severe and associated with hypertension. Dramatic benefit from infused nitroprusside suggests the disorder could represent a dysfunctional endothelium.

  • erythromelalgia
  • sodium nitroprusside
  • vasodilatation
  • EM, erythromelalgia
  • SNP, sodium nitroprusside

https://doi.org/10.1136/adc.87.3.229

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