Intravenous Ketamine Infusion as an Adjunctive Pain Treatment for Erythromelalgia: A Pediatric Case Report.

Abstract

Erythromelalgia is a rare neurovascular pain condition characterized by erythematous, warm, and painful extremities. Symptoms are exacerbated by heat and relieved by cooling. Treatment is challenging and focuses on symptom control with various medications and therapies targeted toward eliminating destructive cooling behaviors. This pediatric case was notable because the patient's pain dramatically improved after a short-term, low-dose ketamine infusion, allowing her to finally wean off detrimental cooling practices of her extremities. Intravenous ketamine has rarely been described as an adjunctive analgesic strategy for erythromelalgia.

• Authors: Liliana Montoya, Anngela C Adams, Mark P Popenhagen, Daniela C Russi, Neil R Singhal, Harper N Price
• Journal: A&A practice (A A Pract) Vol. 16 Issue 4 Pg. e01582 (Apr 13 2022) ISSN: 2575-3126 [Electronic] United States
• PMID: 35421007 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2022 International Anesthesia Research Society.

Chemical References

• Analgesics
• Ketamine

Topics

• Analgesics (therapeutic use)
• Child
• Erythromelalgia (complications, diagnosis, drug therapy)
• Female
• Humans
• Ketamine (therapeutic use)
• Pain (drug therapy, etiology)
• Pain Management