Erythromelalgia
5-minute read
Key facts
- Erythromelalgia is a rare skin condition that causes red, painful, warm skin.
- It most often affects your feet but can also affect your hands.
- Erythromelalgia is also known as Weir-Mitchell disease and erythermalgia.
- Primary erythromelalgia is caused by inherited genetic differences.
- The main aim of treatment is to prevent flare-ups.
What is erythromelalgia?
Erythromelalgia is a rare skin condition that commonly affects your feet. Symptoms can also occur in your hands in about 1 in 4 people.
Erythromelalgia can be classified as:
- primary erythromelalgia
- secondary erythromelalgia
Primary erythromelalgia is mainly seen in people over 60 years of age and is a little more common in females.
Erythromelalgia is also known as Weir-Mitchell disease and erythermalgia.
What are the symptoms of erythromelalgia?
The symptoms of erythromelalgia are having episodes of:
- redness — this may look different on dark skin
- pain — which may start as itching
- warm or hot skin
- swelling
- sweating more than normal
The symptoms most often affect your feet and sometimes your hands. Symptom episodes can last anywhere from a few minutes to days. Symptoms are more common in the evening and night.
Rarely, you may get symptoms on your face, ears and other parts of your body.
CHECK YOUR SYMPTOMS — Use the Symptom Checker and find out if you need to seek medical help.
What causes erythromelalgia?
Primary erythromelalgia is caused by inherited genetic differences.
Secondary erythromelalgia is linked to blood cancers caused by changes to your bone marrow. Occasionally it can be related to:
- diabetes
- infectious diseases
- diseases that affect your joints and muscles
Symptom flares can be caused by:
- dehydration — not drinking enough fluids
- drinking alcohol or eating spicy food
- exercise
- hot weather
- stress
- wearing tight clothes and shoes
When should I see my doctor?
If you have symptoms of erythromelalgia, see your doctor. They can diagnose the cause of your condition.
FIND A HEALTH SERVICE — The Service Finder can help you find doctors, pharmacies, hospitals and other health services.
How is erythromelalgia diagnosed?
Your doctor will ask about your symptoms. They might also ask you about your family medical history.
It may help to take photos of your skin during a flare-up, to show your doctor.
You might be asked to have:
Your doctor may also refer you to a specialist.
ASK YOUR DOCTOR — Preparing for an appointment? Use the Question Builder for general tips on what to ask your GP or specialist.
How is erythromelalgia treated?
Treating erythromelalgia can be difficult. The main aim of treatment is to prevent flare-ups.
If your erythromelalgia is caused by another condition, your doctor will treat that condition.
Self-care at home
During a flare, you can try to relieve your symptoms by:
- raising the affected area
- cooling the area
- wearing loose clothing
Be careful putting your feet or hands into cold water. While this will give you temporary relief, it can cause other problems. It can also cause a vicious cycle, as the changes in temperature may cause another flare.
Wearing loose clothing and not letting yourself get too hot can help prevent or reduce flares.
Medicines for erythromelalgia
Most treatments aim to prevent flare-ups.
Your doctor may prescribe medicine to help with your symptoms, such as:
- aspirin
- sodium channel blockers
- calcium antagonists
- prostaglandins
- capsaicin cream
- anticonvulsant medicines
- some antidepressants
You may need to try different combinations of treatments to find one that works for you.
What are the complications of erythromelalgia?
Erythromelalgia can lead to skin ulcers or gangrene (tissue death).
Severe wound infections can occasionally lead to amputation.
Erythromelalgia can cause ongoing pain and affect your quality of life. If the pain is affecting your mental health, you may want to see a counsellor or psychologist.
Can erythromelalgia be prevented?
Because the cause of primary erythromelalgia is not well understood, it can't be prevented.
Treating the cause of secondary erythromelalgia can help stop the symptoms.
Resources and support
For erythromelalgia caused by genetic differences, support can be found through Genetic Alliance Australia.
You can also call the healthdirect helpline on 1800 022 222 (known as NURSE-ON-CALL in Victoria). A registered nurse is available to speak with you 24 hours a day, 7 days a week.