Affect erythema; Affective hyperemia; Erythema e irritatione; Erythema e pudore; Erythema iracundiae; erythema pudicitiae; Pubic blush
DefinitionThis section has been translated automatically.
Emotionally triggered, intellectually uncontrollable, flush-like (passagere), diffuse redness (possibly also swelling) of the face and the lateral parts of the neck, accompanied by a non-itching, irregular, macular exanthema. Often a vicious circle develops from self-monitoring and worry about a sudden uncontrollable redness. Situations that lead to blushing are often consciously avoided, the affected persons increasingly withdraw. Thus, it is not the actual blushing that is the problem, but the fear of it (see below somatoform disorders).
ManifestationThis section has been translated automatically.
Especially in psychovegetatively unstable adolescents. Predominantly occurring in female sexual intercourse.
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LocalizationThis section has been translated automatically.
Décolleté, lateral neck and cheek areas, also other sections of the upper torso (e.g. neck).
Clinical featuresThis section has been translated automatically.
Acute, bizarre, 2.0-10.0 cm large, sharply defined, anaemic, bright red spots (erythema), which suddenly appear in an emotional stress situation. The erythema starts uncontrollably and disappears again suddenly after the situation-related excitement phase has subsided. Usually combined with palmar or axillary hyperhidrosis or acrocyanosis.
DiagnosisThis section has been translated automatically.
The clinic with the sudden, situational erythema formation is proving.
Differential diagnosisThis section has been translated automatically.
TherapyThis section has been translated automatically.
- Try beta blockers.
- If drug therapy is not successful and in case of extreme annoyance of a personality with the risk of social isolation: endoscopic transthoracic sympathectomy (ETS): Effective and permanently effective, minimally invasive intervention via endoscopic access. 2 major side effects have been described: postoperative pneumothorax < 2%; passant compensatory sweating < 20%. Caution! Transthoracic sympathectomy can only be performed in specialized centers.
Progression/forecastThis section has been translated automatically.
The reactivity decreases significantly until the middle of the day!
Incoming links (11)Affect erythema; Erythema; Erythema e irritatione; Erythema e pudore; Erythema iracundiae; Erythema perstans faciei; Erythema pudicitiae; Facial erythema; Facial swelling; Pubic blush; ... Show all
Outgoing links (8)Acrocyanosis; Erythema perstans faciei; Flush; Hyperhidrosis (overview); Lupus erythematosus systemic; Rash; Somatoform disorders; Sympathectomy, endoscopic transthoracic;
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