Distrofia simpática reflexa.

Reflex Sympathetic Dystrophy is rare in pediatrics. It is a complex regional pain syndrome, of unknown etiology, usually post-traumatic, characterized by dysfunctions of the musculoskeletal, vascular and skin systems: severe persistent pain of a limb, sensory and vascular alterations, associated dis...

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Main Authors: Marta Oliveira, Manuela Manuela, Guilhermina Cantinho
Format: Article
Language:English
Published: Ordem dos Médicos 2012-06-01
Series:Acta Médica Portuguesa
Online Access:https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1403
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author Marta Oliveira
Manuela Manuela
Guilhermina Cantinho
author_facet Marta Oliveira
Manuela Manuela
Guilhermina Cantinho
author_sort Marta Oliveira
collection DOAJ
description Reflex Sympathetic Dystrophy is rare in pediatrics. It is a complex regional pain syndrome, of unknown etiology, usually post-traumatic, characterized by dysfunctions of the musculoskeletal, vascular and skin systems: severe persistent pain of a limb, sensory and vascular alterations, associated disability and psychosocial dysfunction. The diagnosis is based in high clinical suspection. In children and adolescents there are aspects that are different from the adult ones. Excessive tests may result in worsening of the clinical symptoms. Bone scintigraphy can help. Pain treatment is difficult, not specific. Physical therapies and relaxation technics give some relief. Depression must be treated. This syndrome includes fibromyalgia and complex regional pain syndrome type I. We present a clinical report of an adolescent girl, referred for pain, cold temperature, pallor and functional disability of an inferior limb, all signals disclosed by a minor trauma. She had been diagnosed depression the year before. The bone scintigraphy was a decisive test. The treatment with gabapentin, C vitamin, physiotherapy and pshycotherapy has been effective.
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spelling doaj.art-201781cca829424091d3f974c63780042022-12-22T04:29:51ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582012-06-0124610.20344/amp.1403Distrofia simpática reflexa.Marta Oliveira0Manuela ManuelaGuilhermina CantinhoServiço de Pediatria, Hospital Dona Estefânia (CHLC), Lisbon, Portugal.Reflex Sympathetic Dystrophy is rare in pediatrics. It is a complex regional pain syndrome, of unknown etiology, usually post-traumatic, characterized by dysfunctions of the musculoskeletal, vascular and skin systems: severe persistent pain of a limb, sensory and vascular alterations, associated disability and psychosocial dysfunction. The diagnosis is based in high clinical suspection. In children and adolescents there are aspects that are different from the adult ones. Excessive tests may result in worsening of the clinical symptoms. Bone scintigraphy can help. Pain treatment is difficult, not specific. Physical therapies and relaxation technics give some relief. Depression must be treated. This syndrome includes fibromyalgia and complex regional pain syndrome type I. We present a clinical report of an adolescent girl, referred for pain, cold temperature, pallor and functional disability of an inferior limb, all signals disclosed by a minor trauma. She had been diagnosed depression the year before. The bone scintigraphy was a decisive test. The treatment with gabapentin, C vitamin, physiotherapy and pshycotherapy has been effective.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1403
spellingShingle Marta Oliveira
Manuela Manuela
Guilhermina Cantinho
Distrofia simpática reflexa.
Acta Médica Portuguesa
title Distrofia simpática reflexa.
title_full Distrofia simpática reflexa.
title_fullStr Distrofia simpática reflexa.
title_full_unstemmed Distrofia simpática reflexa.
title_short Distrofia simpática reflexa.
title_sort distrofia simpatica reflexa
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1403
work_keys_str_mv AT martaoliveira distrofiasimpaticareflexa
AT manuelamanuela distrofiasimpaticareflexa
AT guilherminacantinho distrofiasimpaticareflexa