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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Format: | Article |
Language: | English |
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Ordem dos Médicos
2012-06-01
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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. |
first_indexed | 2024-04-11T10:17:59Z |
format | Article |
id | doaj.art-201781cca829424091d3f974c6378004 |
institution | Directory Open Access Journal |
issn | 0870-399X 1646-0758 |
language | English |
last_indexed | 2024-04-11T10:17:59Z |
publishDate | 2012-06-01 |
publisher | Ordem dos Médicos |
record_format | Article |
series | Acta Médica Portuguesa |
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 |