COMPLEX REGIONAL PAIN SYNDROME IN CHILDREN
Abstract
Background. In children with unexplained pain in distal part of extremity associated with edema, abnormal skin color, temperature change, complex regional pain syndrome (CRPS) must be considered. This pain syndrome requires the presence of regional pain and sensory changes associated with abnormal skin color, temperature change, abnormal sudomotor activity or edema. Signs and symptoms are disproportionate to the inciting event. There are two types of CRPS: type I occurs without a definable nerve lesion and type II, where a definable nerve lesion is present. Diagnosis is clinical.
Conclusions. CRPS is not yet suspected in children, those affected often have many unnecessary investigations and may be unsuitable treated and also overtreated.
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References
Dietz FR, Mathews KD, Montgomery WJ. Reflex sympathetic dystrophy in children. Clin Orthop 1990; 258: 225–31.
Veldman PHJM, Reynen HM, Arntz IE, Goris RJA. Signs and symptoms of reflex sympathetic dystrophy; prospective study of 829 patients. Lancet 1993; 342: 1012–6.
Oyen WJG, Arntz IE, Claessens RAMJ, van der Meer JWM, Covstens FHM, Goris RJA. Reflex sympathetic dystrophy of the hand: an excessive inflammatory response? Pain 1993; 55: 151–7.
Lloyd-Thomas AR, Lauder G. Reflex sympathetic dystrophy in children. BMJ 1995; 310: 1648–9.
Silber TJ, Majd M. Reflex sympathetic dystrophy syndrome in children and adolescents. AJDC 1988; 142: 1325–30.
Bernstein BH, Singsen BH, Kent JT et al. Reflex neurovascular dystrophy in childhood. J Pediatr 1978; 93: 211–5.
Sherry DD, Weisman R. Psychologic aspects of childhood reflex neurovascular dystrophy. Pediatrics 1988; 81: 572–8.
Touzet Ph, D’Ornano Ph, Chaurnien JP, Prieur AM, Rigault P. Les formes trompeuses de l’algoneurodystrophie de l’enfant et de l’adolescent. Ann Pediatr 1991; 38: 673–81.
Allen G, Galer BS, Schwartz L. Epidemiology of complex regional pain syndrome: a retrospective chart review of 134 patients. Pain 1999; 80: 539– 44.
Monti DA, Herring CL, Schwartzman RJ, Marchese M. Personality assessment of patients with complex regional pain syndrome type I. Clin J Pain l998; 14: 295–302.
Veldman PHJM, Goris RJA. Multiple reflex sympathetic dystrophy. Which patients are at risk for developing a recurrence of reflex sympathetic dystrophy in the same or another limb. Pain 1996; 64: 463–6.
Schwartzman RJ, McLellan TL. Reflex sympathetic dystrophy. Arch Neurol 1987; 44: 555–61.
Merskey H. Classification of chronic pain descriptions of pain terms. Pain 1986; 27: S 17–S 19, S 29.
Beattie TF. Active early physiotherapy is the key to prevention. Letter to the editor. BMJ 1995; 311: 1503–4.
Parrillo SJ. Reflex sympathetic dystrophy in children. Ped Emerg Care 1998; 14: 217–20.
Sandroni P, Low PA, Ferrer T, Opfer-Gehrking TL, Willner CL, Wilson PR. Complex regional pain syndrome I (CRPS I): prospective study and laboratory evaluation. Clin J Pain 1998; 14: 282–9.
Schwartzman RJ. Reflex sympathetic dystrophy. Curr Opin Neurol Neurosurg 1993; 6: 531–6.
Stanton-Hicks M, Janig W, Hassenbuch S, Haddox JD, Boas R, Wilson P. Reflex sympathetic dystrophy: changing concepts and taxonomy. Pain 1995; 63: 27–33.
Schwartzman RJ. Explaining reflex sympathetic dystrophy. Arch Neurol 1999; 56: 521–2.
Schwartzman RJ. New treatments for reflex sympathetic dystrophy. New Eng J Med 2000; 343: 654–6.
Bhatia KP, Bhatt MH, Mardsen CD. The cousalgia-dystonia syndrome. Brain 1993; 116: 843–51.
Marshall AT, Crisp AJ. Reflex sympathetic dystrophy. Rheumatology 2000; 39: 692–5.
Maleki J, Le Bel AA, Bennet GJ, Schwartzman RJ. Patterns of spread in complex regional pain syndrome, type I (reflex sympathetic dystrophy). Pain 2000; 88: 259–66.
Harden RN, Bruechl S, Galer BS et al. Complex regional pain syndrome: are the IASP diagnostic criteria valid and sufficiently comprehensive? Pain 1999; 83: 211–9.
Stanton-Hicks M, Baron R, Boas R et al. Complex regional pain syndromes: guidelines for therapy. Consensus report. Clin J Pain 1998; 14: 155–66.
Bruckbauer HR, Mursic VP, Herzer P, Hofman H. Sudeck atrophy in Lyme borreliosis. Infection 1997; 25: 372–6.
Ashwal S, Tomasi L, Neumann M, Schneider S. Reflex sympathetic dystrophy syndrome in children. Pediatr Neurol 1988; 4: 38–42.
Fermaglich DR. Reflex sympathetic dystrophy in children. Pediatrics 1977; 60: 881–3.
Kesler RW, Saulsbury FT, Miller LT, Rowilingson YC. Reflex sympathetic dystrophy in children: treatment with transcutaneous electric nerve stimulation. Pediatrics 1988; 82: 728–32.
Ruggeri SB, Athreya BH, Doughty R, Gregg JR, Das MM. Reflex sympathetic dystrophy in children. Clin Ortop 1982; 163: 225–30.
Sherry DD, Wallace CA, Kelly C, Kidder M, Sapp L. Short-and long-term outcomes of children with complex regional pain syndrome type I treated with exercise therapy. Clin J Pain 1999; 15: 218–23.
Wilder RT, Berde CB, Wolohan M, Vieyra MA, Masek BJ, Micheli LJ. Reflex sympathetic dystrophy in children. J Bone Joint Surg 1992; 74A: 910–9.
Goldsmith DP, Vivino FB, Eichenfielda H, Athreya BH, Heyman S. Athritis Rheumatism 1989; 32: 480–5.
Schweitzer ME, Mandel S, Schwartzman RJ, Knobler RL, Tahmoush AJ. Reflex sympathetic dystrophy revisited: MR imaging findings before and after infusion of contrast material. Radiology 1995; 195: 211–4.
Drummond PD, Finch PhM, Smythe GA. Reflex sympathetic dystrophy: the significance of differing plasma catecholamine concentrations in affected and unaffected limbs. Brain 1991; 114: 2025–36.
Höfferle-Felc A. Morbus Sudeck ali kompleksni regionalni bolečinski sindrom. Med Razgl 2000; 39: 171–8
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