PMC10233004_01
Erythromelalgia complicated by immersion foot syndrome and infection: bullae, erosions, painful ulcers, and infection on the patient's feet and ankles.
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F1
Consequently, these behaviors impair skin integrity and exacerbate microcirculatory abnormalities, leading to bullae, erosions, painful ulcers, and recurrent infections (Figure 1).
The appearance of lower extremities at the first hospitalization.
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F2
A pain consultation was obtained during his hospitalization in the dermatology department of the children's hospital for lower extremity infections and severe burning pain (Figure 2). Therefore, he was transferred to our pain management department (Figure 2).
Inoperative digital subtraction angiography imaging for the placement of the dual-lead spinal cord stimulator placement. The tip of the 2 spinal cord electrical stimulation electrodes were placed in the epidural space near the upper edge of the T11 and T9 vertebral body.
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F3
SCS electrodes were placed in the epidural space at the level of the 11 (right) and 9 (left) vertebral body under the guidance of digital subtraction angiography (Figure 3), which provided complete coverage of the patient's feet and calves during the operation and post-operative days.
Implanted a permanent Medtronic intellis neurostimulator (A1, A2). Appearance of lower extremities after dorsal column stimulation (B).
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F4
After 6 days of neurostimulator implantation, the appearance of the skin gradually recovered (Figure 4).
Line chart of symptom scoring and episodes of this patient during hospitalization. Among these days, he received stage I implant operation at day 1, and stage II implant operation at day 14.
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F5
The results showed that the itching, pain, and burning sensation were alleviated to varying degrees, however, it cannot completely improve all his symptoms (Figure 5).