Short answer · Medically reviewed summary · Last updated: 2026-04-07

Erythromelalgia is considered a rare condition, with an estimated prevalence ranging from 0.36 to 2 per 100,000 individuals, though these figures are likely underestimates due to significant diagnostic delays. Epidemiological Overview Because Erythromelalgia is frequently misdiagnosed as other vascular or neurological conditions, precise incidence and prevalence data remain elusive. Research published by Orphanet suggests that while the disorder is rare, it is likely more common than current clinical registries indicate.

5 people with Erythromelalgia have shared their first-person experience on this question at DiseaseMaps.

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What is the prevalence of Erythromelalgia?

Prevalence of Erythromelalgia: how many people are affected worldwide, differences by sex and region, with sources.

Prevalence of Erythromelalgia

Erythromelalgia is considered a rare condition, with an estimated prevalence ranging from 0.36 to 2 per 100,000 individuals, though these figures are likely underestimates due to significant diagnostic delays.



Epidemiological Overview


Because Erythromelalgia is frequently misdiagnosed as other vascular or neurological conditions, precise incidence and prevalence data remain elusive. Research published by Orphanet suggests that while the disorder is rare, it is likely more common than current clinical registries indicate. The clinical presentation of Erythromelalgia can be categorized into primary (often genetic, such as mutations in the SCN9A gene) or secondary (associated with underlying conditions like polycythemia vera or small fiber neuropathy), which complicates global counting efforts.



Demographics and Onset


The distribution of Erythromelalgia varies based on the underlying etiology. Primary Erythromelalgia often presents in childhood or adolescence, whereas secondary forms typically emerge in adulthood. Epidemiological studies suggest a female predominance in many cohorts, though this may reflect healthcare-seeking behaviors rather than true biological susceptibility. There is currently no evidence of specific geographic or ethnic clusters, as cases have been reported globally across diverse populations.



Challenges in Data Collection


The rarity of Erythromelalgia often leads to a "diagnostic odyssey," where patients visit multiple specialists before receiving an accurate diagnosis. This underdiagnosis means that official prevalence numbers often lag behind the reality of the patient population. At DiseaseMaps.org, our community of 534 members provides a vital real-world perspective; by aggregating patient-reported data, we can better visualize the burden of Erythromelalgia that traditional clinical literature may overlook. Engaging with patient-led communities helps researchers bridge the gap between clinical statistics and the lived experience of those navigating this condition.



Medical Disclaimer: This information is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.



References



  • Orphanet: Portal for rare diseases and orphan drugs.

  • NIH Genetic and Rare Diseases Information Center (GARD).

  • OMIM (Online Mendelian Inheritance in Man).

  • The Erythromelalgia Association (TEA).

Author: DiseaseMaps Editorial Team
Reviewed against authoritative medical sources (NIH GARD, Orphanet, OMIM)
Last updated: 2026-04-07
Medical disclaimer: This information does not substitute professional medical advice. Always consult your doctor before making health decisions.
Source: DiseaseMaps.org
6 answers
It affects more women than men and tends to affect older people more then younger people. Erthromelalgia affects 1 in every 100,000 people.

Posted Sep 16, 2017 by Jeff 3050
This is a rare disorder, less that one in 100.000

Posted Dec 27, 2017 by mleaver 2500
1.1 per 100,000 persons. There is no gender specific or age

Posted Apr 4, 2018 by Alys 2500
1 in 100,000
It is now thought to be as high as 15 in 100,000

Posted Jan 18, 2021 by Kathy Vanicek 2500
1.3 per 100,000 a year are diagnosed with it in the US. 0.0013 percent in the US. It effects both but more Afab people than amab. It is common for it to appear first in childhood.

Posted Aug 14, 2021 by saguaros 3000

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Stories of Erythromelalgia

ERYTHROMELALGIA STORIES
Erythromelalgia stories
My symptoms first started in October of 2010.  I began to investigate my symptoms on the internet.  After searching I came upon Erythromelalgia and ALL my symptoms matched.  I then began my search for a doctor who could and would help me.  I fina...
Erythromelalgia stories
I started getting stange burning in my feet and calves about a year ago.  Went to many doctors and had all the test.  None could diagnose me.  Said probably samll fiber neuropathy even thought the skin biopsy was negagive.  Stumbled across the Li...
Erythromelalgia stories
A lot of medication since 5 years Nothing help  
Erythromelalgia stories
I can't remember a time when I didn't have hot feet. I haven't been diagnosed, but my sister has. I also have neuropathy. My feet look black most of the time and I just had an ultrasound and doplar done only to find my circulation is excellent. 
Erythromelalgia stories
I was diagnosed in 2015 bij the Academisch Ziekenhuis Maastricht (academical hospital in Maastricht, netherlands). After a 1,5 year journey of searching for answers. I love to be in Facebook support groups, they really get what I am going through.

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Erythromelalgia forum

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Are there any eythromelgia 'experts' in the uk?

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