A case of erythromelalgia with gastrointestinal dysautonomia treated with immunoglobulin: A case report

Adrienn N Bourkas; Ryan Geng; Matthew Sibbald; R Gary Sibbald

doi:10.1177/2050313X231213137

A case of erythromelalgia with gastrointestinal dysautonomia treated with immunoglobulin: A case report

SAGE Open Med Case Rep. 2023 Nov 20:11:2050313X231213137. doi: 10.1177/2050313X231213137. eCollection 2023.

Authors

Adrienn N Bourkas¹, Ryan Geng², Matthew Sibbald³, R Gary Sibbald⁴

Affiliations

¹ School of Medicine, Queen's University, Kingston, ON, Canada.
² Temerty School of Medicine, University of Toronto, Toronto, ON, Canada.
³ Department of Medicine, McMaster Education Research Innovation and Theory (MERIT) Program, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
⁴ Dalla Lana School of Public Health & Division of Dermatology, Department of Medicine, University of Toronto, Toronto, ON, Canada.

Abstract

An 18-year-old female with a history of atopic march, hyperhidrosis, and eosinophilic esophagitis was diagnosed with erythromelalgia and gastrointestinal dysautonomia secondary to presumed autoimmune small fiber neuropathy. The patient experienced significant clinical improvements after the initiation of intravenous immunoglobulin therapy, supporting an underlying autoimmune disorder.

Keywords: Erythromelalgia; dermatology; dysautonomia; pain syndrome; small fiber polyneuropathy.

Publication types

Case Reports