■红血病,有主要和次要演示,导致热量,疼痛,皮肤发红.这种情况似乎有自主神经的基础,血管舒缩功能障碍导致某些血管扩张和其他血管收缩。尚未报道持续有效的治疗方法。抗惊厥药,抗抑郁药,抗组胺药,抗炎,抗高血压药,镇痛药,营养,已经尝试了局部方法,就像利多卡因输注一样,神经阻滞,胸腰椎交感神经切除术.骨间膜刺激似乎会影响所治疗肢体的局部自主神经环境。这种方法用于患有红血病的患者。
■一名36岁的红斑患者接受骨间膜刺激治疗。在1年的时间范围内以1-3个月的间隔给予八种治疗。
■这个病人反复经历了从她的灼热感觉异常缓解,肿胀,排汗,每次治疗后她的四肢红润变色6-8小时。随着时间的推移,她的不适感逐渐消退。
■骨间膜刺激是安全的,简单,和红斑痛的有效治疗方法,这是众所周知的难以治疗。该患者对治疗的反应可能是其自主神经系统局部紊乱的结果。肢体自主神经环境的操纵可能是骨间膜刺激作用机制的重要因素。
UNASSIGNED: Erythromelalgia, which has primary and secondary presentations, causes heat, pain, and redness in the skin. The condition seems to have an autonomic basis, with vasomotor dysfunction causing dilatation of some blood vessels and constriction of others. No consistently effective treatments have been reported. Anticonvulsant, antidepressant, antihistamine, anti-inflammatory, antihypertensive, analgesic, nutritional, and topical approaches have been tried as were lidocaine infusions, nerve blocks, and thoracic and lumbar sympathectomies. Interosseous membrane stimulation appears to affect the local autonomic milieu in the extremity being treated. This approach was used on a patient with
erythromelalgia.
UNASSIGNED: A 36-year-old woman with
erythromelalgia was treated with interosseous membrane stimulation. Eight treatments were given over a 1-year timeframe at 1-3-month intervals.
UNASSIGNED: This patient repeatedly experienced much relief from her burning paresthesias, swelling, diaphoresis, and ruddy discoloration of her extremities for 6-8 hours following each treatment. The intensity of her discomfort subsided gradually over time.
UNASSIGNED: Interosseous membrane stimulation is a safe, simple, and effective treatment for
erythromelalgia, which is notoriously refractory to treatment. This patient\'s response to treatment might have been a result of localized derangement of her autonomic nervous system. It is possible that manipulation of the autonomic milieu of an extremity is a significant factor in the mechanism of action of interosseous membrane stimulation.