Erythromelalgia treatment and autoimmune

Posted by haileyrose @haileyrose, Apr 28, 2024

Hi all,

I (31, F) have been experiencing Erythromelalgia for about 1.5 years. I was diagnosed officially about 6 months ago.
-Asprin didn’t help
-Magnesium does seem to help.
-I have symptoms the worst in my hands, then feet, and also at times get redness on my face and ears as well.

I’ve had various other random symptoms over the last 10 years which lean towards being possibly autoimmune related. Because of this, I recently was referred to a rheumatologist who flat out denied that Erythromelalgia is related to or coincides with autoimmune conditions. I was flabbergasted by this.

So now I’m at square one, and am receiving no treatment for my EM. Any insights or suggestions? I feel stuck and frustrated.

Interested in more discussions like this? Go to the Autoimmune Diseases Support Group.

I have had Erythromelalgia for almost ten years now. Nothing they tried worked. I finally was able to get in with a specialist at Johns Hopkins and he has been a blessing. He put me on Mistoprolo and it has almost taken my symptoms completely away. Hope this helps because I completely understand your pain.

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Profile picture for clint81 @clint81

I have had Erythromelalgia for almost ten years now. Nothing they tried worked. I finally was able to get in with a specialist at Johns Hopkins and he has been a blessing. He put me on Mistoprolo and it has almost taken my symptoms completely away. Hope this helps because I completely understand your pain.

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@clint81
You’ve endured this heinous condition for much longer than I have. I commend you for your courage and perseverance.

Is the med you’ve been taking mistoprolo or mistoprolol?

My dermatologist had me try metoprolol which has not worked. My next step is to begin spirolactidone.

I look forward to your reply.
Elaine

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Profile picture for piemonte @piemonte

@clint81
You’ve endured this heinous condition for much longer than I have. I commend you for your courage and perseverance.

Is the med you’ve been taking mistoprolo or mistoprolol?

My dermatologist had me try metoprolol which has not worked. My next step is to begin spirolactidone.

I look forward to your reply.
Elaine

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@piemonte it’s Misoprostol 200 mcg tablets. I started out on 4 a day and now I’m down to 1 a day.

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Did you have any adverse reactions? Has it mitigated the pain from flares?

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Profile picture for piemonte @piemonte

Erythromalalgia is a condition that causes burning and redness in the hands and feet. I become symptomatic when I exercise and when I sleep. Nighttime is the worst. I go to bed with cold feet and wake up a few hours later with burning red feet.

Has anyone else struggled with this condition?
Thank you.

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@piemonte
Yes, my son and I both get this randomly in our palms and soles of feet for decades. We can stop it in hands by holding our arms straight up over head for 5 minutes and feet, lie on back on bed or floor and put heels of feet against wall so legs are extremely elevated for 5 minutes. The elevation seems to do the trick. Naturally, if you’re not at home when it starts it’s a little more challenging. We looked pretty silly walking around with arms in the air for 5 minutes but worth it. Hope this works for others.

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Profile picture for piemonte @piemonte

Did you have any adverse reactions? Has it mitigated the pain from flares?

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@piemonte I’ve had no bad reactions from the medicine. It has taken about 90 to 95 precent of all redness, burning, pain and inflammation away. It had truly been a godsend for me.

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I’m going to ask my dermatologist if I can try it. I am desperate for relief. My flares last a few hours each time. I am completely housebound.

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For twenty years I thought I had erythromelalgia. Then I read that it could be chilblaines because it was seasonal. My feet got sores on the toes and I could barely walk in the winter. It turned out to be chilblaines; my feet couldn't adjust to temerature changes. I was put on Nephepine and it stopped with the first dose!

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Profile picture for clint81 @clint81

@piemonte I’ve had no bad reactions from the medicine. It has taken about 90 to 95 precent of all redness, burning, pain and inflammation away. It had truly been a godsend for me.

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@clint81

Would you mind giving me the name of the doctor you saw at Johns Hopkins?

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Profile picture for piemonte @piemonte

@clint81

Would you mind giving me the name of the doctor you saw at Johns Hopkins?

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@piemonte Dr Jun Kang he is an autoimmune disease specialist for John Hopkins Dermatology. I had gone to about 10 different rheumatologist and nothing they did worked. Finally the last rheumatologist I had said we have a Dermatologist that is an autoimmune specialist here and he is said to work miracles. So I went because I was out of options and he really is a godsend. Besides my normal everyday doctor he is the only one I see now.

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