Skip to main content

Table 1 Differential diagnosis of PEPD and congenital harlequin syndrome.

From: A novel SCN9A gene variant identified in a Chinese girl with paroxysmal extreme pain disorder (PEPD): a rare case report

 

PEPD

Harlequin syndrome

Age

Neonate or early infancy

Above one year old (After walking)

Non-epileptic tonic seizures

Yes

No

Pain or panic

Yes

No

Location of the skin flush

Mostly on perineum and lower limbs

Mainly on facial and body cadres

Bradycardia and other autonomic nervous dysfunction

Yes

No

Causes

Defecation and other perineal stimulation, eating, etc.

Temperature, exercise, emotion, etc.