| Successful treatment of erythromelalgia with intrathecal hydromorphone and clonidine. | |
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MedLine Citation:
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PMID: 11153786 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The objective of this study was to determine if intractable pain from erythromelalgia could be successfully treated with intrathecal hydromorphone and clonidine. DESIGN: A single case of pain from erythromelalgia refractory to multiple treatment modalities was examined and treated. SETTING: The setting is an outpatient pain clinic at a major university teaching hospital. PATIENT: Our patient is an 82-year-old woman with hypertension and peripheral vascular disease. INTERVENTION: Intrathecal opioid and an alpha2-agonist were administered. OUTCOME MEASURES: Outcome was determined by means of patient self-report during office follow-up visits. RESULTS AND CONCLUSIONS: Administration of intrathecal opioid and an alpha2-agonist can be effective in the treatment of the pain of erythromelalgia and offers an alternative pain treatment modality for patients with unremitting pain refractory to more conservative therapy. |
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Authors:
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S Macres; S Richeimer |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Clinical journal of pain Volume: 16 ISSN: 0749-8047 ISO Abbreviation: Clin J Pain Publication Date: 2000 Dec |
Date Detail:
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Created Date: 2001-01-10 Completed Date: 2001-03-08 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8507389 Medline TA: Clin J Pain Country: United States |
Other Details:
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Languages: eng Pagination: 310-3 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, University of California, Sacramento 95817, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adrenergic alpha-Agonists
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administration & dosage* Age of Onset Aged Aged, 80 and over Analgesics, Opioid / administration & dosage* Clonidine / administration & dosage* Erythromelalgia / drug therapy* Female Humans Hydromorphone / administration & dosage* Infusion Pumps, Implantable Injections, Spinal |
| Chemical | |
Reg. No./Substance:
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0/Adrenergic alpha-Agonists; 0/Analgesics, Opioid; 4205-90-7/Clonidine; 466-99-9/Hydromorphone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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