# Unilateral Flares

**URL:** <https://forum.livingwitherythromelalgia.org/t/unilateral-flares/2008>\
**Category:** General\
**Created:** [November 12, 2016, 12:45pm UTC](https://forum.livingwitherythromelalgia.org/t/unilateral-flares/2008 "2016-11-12T12:45:41Z")\
**Posts on this page:** 12\
**Page:** 1

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**Author:** ![Noelia](https://avatars.discourse-cdn.com/v4/letter/n/49beb7/32.png) [@Noelia](https://forum.livingwitherythromelalgia.org/u/Noelia)\
**Post date:** [November 12, 2016, 12:45pm UTC](https://forum.livingwitherythromelalgia.org/t/unilateral-flares/2008/1 "2016-11-12T12:45:41Z")

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Last night something weird happened. I drank a pint of beer, alcohol being one of my most know triggers and just my toes in my left foot flared and then my right ear.  
Does anyone have this unilateral flares? If so, does anyone know why it happens?

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**Author:** ![nwgirl](https://avatars.discourse-cdn.com/v4/letter/n/da6949/32.png) [@nwgirl](https://forum.livingwitherythromelalgia.org/u/nwgirl)\
**Post date:** [November 12, 2016, 11:11pm UTC](https://forum.livingwitherythromelalgia.org/t/unilateral-flares/2008/2 "2016-11-12T23:11:00Z")

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I have unilateral flares more often than not - one foot, just toes on one foot, one ear, etc. When both feet flare it is usually when I’ve been active (exercising or walking) or when it’s too warm. I have no idea why this happens - such a weird disorder.

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**Author:** ![Drew](https://yyz1.discourse-cdn.com/flex027/user_avatar/forum.livingwitherythromelalgia.org/drew/32/1532_2.png) [@Drew](https://forum.livingwitherythromelalgia.org/u/Drew)\
**Post date:** [November 14, 2016, 9:45pm UTC](https://forum.livingwitherythromelalgia.org/t/unilateral-flares/2008/3 "2016-11-14T21:45:32Z")

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Vines are very similar. 1 foot maybe swollen and on fire while the other is freezing cold. Sometimes both feet sometimes toes on one foot and heels on the other. No Rhyme or Reason. I have tried to link it to time of day ,weather Etc

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**Author:** ![Noelia](https://avatars.discourse-cdn.com/v4/letter/n/49beb7/32.png) [@Noelia](https://forum.livingwitherythromelalgia.org/u/Noelia)\
**Post date:** [November 15, 2016, 12:56am UTC](https://forum.livingwitherythromelalgia.org/t/unilateral-flares/2008/4 "2016-11-15T00:56:33Z")

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Maybe if we had better understanding of the disease, we would know why that happens!

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**Author:** ![Noelia](https://avatars.discourse-cdn.com/v4/letter/n/49beb7/32.png) [@Noelia](https://forum.livingwitherythromelalgia.org/u/Noelia)\
**Post date:** [November 20, 2016, 5:16am UTC](https://forum.livingwitherythromelalgia.org/t/unilateral-flares/2008/5 "2016-11-20T05:16:28Z")

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![](https://canada1.discourse-cdn.com/flex027/uploads/ben_erythromelalgia/original/2X/e/e3a39c8f8a06c90909c102f799015fb162e0c2c1.JPG)

Speaking of unilateral flares

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**Author:** ![sheltielife](https://yyz1.discourse-cdn.com/flex027/user_avatar/forum.livingwitherythromelalgia.org/sheltielife/32/733_2.png) [@sheltielife](https://forum.livingwitherythromelalgia.org/u/sheltielife)\
**Post date:** [November 20, 2016, 8:26am UTC](https://forum.livingwitherythromelalgia.org/t/unilateral-flares/2008/6 "2016-11-20T08:26:12Z")

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Actually, it maybe that the photo isn’t showing it up that well and I can see that the left one is more red than the right, but it doesn’t look incredibly different. When mine is bad or should I say was bad as now I am being treated for rheumatoid arthritis I am far better my feet and legs were much redder than your left one more like the photos on the home page of The Erythromelalgia Association.  
One explanation that is possible to why one side is worse than the other could be to do with circulation, which is what the docs first thought was causing mine.

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**Author:** ![Noelia](https://avatars.discourse-cdn.com/v4/letter/n/49beb7/32.png) [@Noelia](https://forum.livingwitherythromelalgia.org/u/Noelia)\
**Post date:** [November 20, 2016, 5:36pm UTC](https://forum.livingwitherythromelalgia.org/t/unilateral-flares/2008/7 "2016-11-20T17:36:05Z")

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Well when I took the picture one foot(left one) was on fire and the other perfectly fine ☹  
I’ve tested for RA and the test came back negative!

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**Author:** ![sheltielife](https://yyz1.discourse-cdn.com/flex027/user_avatar/forum.livingwitherythromelalgia.org/sheltielife/32/733_2.png) [@sheltielife](https://forum.livingwitherythromelalgia.org/u/sheltielife)\
**Post date:** [November 20, 2016, 5:49pm UTC](https://forum.livingwitherythromelalgia.org/t/unilateral-flares/2008/8 "2016-11-20T17:49:30Z")

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As I said could be the photo not showing it properly. Also just noticed I said rheumatoid arthritis and I was meant to say rheumatoid vasculitis

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**Author:** ![Noelia](https://avatars.discourse-cdn.com/v4/letter/n/49beb7/32.png) [@Noelia](https://forum.livingwitherythromelalgia.org/u/Noelia)\
**Post date:** [November 20, 2016, 5:50pm UTC](https://forum.livingwitherythromelalgia.org/t/unilateral-flares/2008/9 "2016-11-20T17:50:36Z")

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Is there a test por vasculitis?

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**Author:** ![sheltielife](https://yyz1.discourse-cdn.com/flex027/user_avatar/forum.livingwitherythromelalgia.org/sheltielife/32/733_2.png) [@sheltielife](https://forum.livingwitherythromelalgia.org/u/sheltielife)\
**Post date:** [November 20, 2016, 6:46pm UTC](https://forum.livingwitherythromelalgia.org/t/unilateral-flares/2008/10 "2016-11-20T18:46:19Z")

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The main test is CRP just a test for vasculitis but it’s a general check on inflammation levels.

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**Author:** ![sheltielife](https://yyz1.discourse-cdn.com/flex027/user_avatar/forum.livingwitherythromelalgia.org/sheltielife/32/733_2.png) [@sheltielife](https://forum.livingwitherythromelalgia.org/u/sheltielife)\
**Post date:** [November 20, 2016, 7:00pm UTC](https://forum.livingwitherythromelalgia.org/t/unilateral-flares/2008/11 "2016-11-20T19:00:58Z")

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I should have said that I do have rheumatoid arthritis which is the cause of rheumatoid vasculitis. Even so my rheumatologist wasn’t certain it was only when I had Rituximab infusions and it worked that confirmed it.

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**Author:** ![Elis](https://yyz1.discourse-cdn.com/flex027/user_avatar/forum.livingwitherythromelalgia.org/elis/32/1569_2.png) [@Elis](https://forum.livingwitherythromelalgia.org/u/Elis)\
**Post date:** [November 20, 2016, 7:22pm UTC](https://forum.livingwitherythromelalgia.org/t/unilateral-flares/2008/12 "2016-11-20T19:22:58Z")

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Left foot middle toe: for my first few days of getting daily EM flares one toe was the focus. By the end of that month I lost the nail. No injury prior. It did grow back. That was 2012. Over the past 2 years right knee flares greatly more than left.
