ERYTHROMELALGIA

Abstract
Erythromelalgia was first described by Graves1in 1864 and by Mitchell2in 1872 and is characterized by shooting, throbbing or burning pains associated with duskiness, congestion or redness of the affected part. The five essential features necessary for establishing a diagnosis are: (1) burning pain in the hands or the feet, (2) aggravation of symptoms by heat or exercise, (3) relief by elevation, rest or cold, (4) increased local heat and (5) refractoriness to treatment. REPORT OF CASE History.— On Nov. 5, 1936, I was called to see J. F., a white man aged 50, a laborer. He had both feet suspended in a basin of cold water in order to obtain relief from local burning and throbbing pain. They were swollen and hot to the touch but did not pit on pressure. The symptoms were aggravated by local pressure, suspension in warm water or application of an

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