Erythromelalgia

Also called Erythermalgia or Mitchell's disease

Erythromelalgia is a rare condition that causes episodes of intense burning pain, redness and heat, usually in the feet and sometimes in the hands, face or ears. Episodes are often triggered by warmth, exercise or standing, and can last minutes to days.

Last updated Nov 9, 2026

What it is

It can be inherited, occur on its own, or be linked to another condition, such as a blood disorder.

Cooling the skin, avoiding triggers and medicines for nerve pain can help. Avoid putting feet in ice water, which can damage the skin.

Common signs

  • Burning pain in the feet or hands
  • Red, hot skin
  • Swelling during episodes
  • Relief from cooling

How it is usually diagnosed

  • Diagnosed from symptoms, ideally with photos of an episode
  • Blood tests to look for an underlying cause

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Photos of episodes
  • A diary of triggers
  • Blood test results
  • Medicines tried and what helped

Questions to ask your doctor

  • Is there an underlying cause?
  • Which treatments could help the pain?
  • How can I cool the skin safely?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Skin breaking down, ulcers or signs of infection on the feet

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources