Hello, this is Dr. Blake and I need your help. The following are photos from a patient with extreme foot pain at the areas of redness primarily I believe when she is exposed to heat. This can be normal walking more than a mile, or triggered by hot tubs and hot weather. One suggestion is erythromelalgia from a dermatologist friend. She will be getting a biopsy soon.
Hi Dr. Blake,
Attached are the photos we talked about today.
To summarize the issue:
~ These episodes seem to be triggered by heat (hot weather, hot tubs) and/or moderate amounts of walking/standing - most of these photos were taken while I was on vacation.
~ 10/10 pain, which can be described as achy, hot, burning, stabbing, and like a "bruised sunburn" on the soles of the feet
~ Extremely painful to walk or put weight on affected feet/foot (resulting in limping and hobbling)
~ Feet feel warm to the touch most of the time, but especially during these episodes
~ Usually feels better after a day or two of rest and air conditioning or moving to a cooler climate, but if air conditioning or moving to a cooler climate is impossible, it can stay like this for days/weeks
Please keep me updated on any interesting possible diagnoses!
Oh, and here's the foot pain forum that I told you about today (full of other people who have something similar going on): https://www.foot-pain-
Thanks for your help,
Here is a response from one of my patients/friends:
I know you can research anything but here's one: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5871369/
Dr. Steve Pribut wonderful post:
