Erythromelalgia of the ears: an unusual variant and response to therapy
Berk, D.R.; Eisen, A.Z.
Journal of Drugs in Dermatology Jdd 7(3): 285-287
2008
ISSN/ISBN: 1545-9616 PMID: 18380211 Document Number: 17851
Erythromelalgia is characterized by episodes of erythematous, warm, burning acral skin, which is exacerbated by heat and relieved by cold. Erythromelalgia usually affects the feet and/or hands but, although rare, erythromelalgia may affect the ears. The authors present a 65-year-old woman with erythromelalgia of the ears with disabling symptoms whose diagnosis was delayed for 6 years. The patient failed to respond to numerous therapies before rapidly improving with oral amitriptyline and amitriptyline 1% to 2% and ketamine 0.5% to 1% topical gel.
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