title: Treatment of inflammatory, neuropathic and sympathetically maintained pain in a patient with Sjögren's syndrome.
abstract: We present a case of Sjögren's syndrome with a painful peripheral neuropathy where pain control required both anti-inflammatory and sympatholytic treatments. This case suggests that the pain in some inflammatory disorders with nerve injury may have a component mediated by an alpha adrenergic receptor.
authors.affiliation: Department of Neurology, School of Medicine, University of California at San Francisco, San Francisco, CA 94143 USA Department of Anesthesia, School of Medicine, University of California at San Francisco, San Francisco, CA 94143 USA.
authors.forename: Bradley S
authors.initials: BS
authors.lastname: Galer
authors.forename: Michael C
authors.initials: MC
authors.lastname: Rowbotham
authors.forename: Kurt Von
authors.initials: KV
authors.lastname: Miller
authors.forename: Anne
authors.initials: A
authors.lastname: Walton
authors.forename: Howard L
authors.initials: HL
authors.lastname: Fields
mesh_terms: D000200:Action Potentials / Q000502:physiology; D000328:Adult; D005260:Female; D006801:Humans; D007249:Inflammation / Q000503:physiopathology*; D008012:Lidocaine / Q000627:therapeutic use; D009407:Nerve Block; D010146:Pain / Q000503:physiopathology; D059408:Pain Management; D010525:Peripheral Nerves / Q000502:physiology; D010646:Phentolamine / Q000627:therapeutic use; D012859:Sjogren's Syndrome / Q000150:complications*; D013233:Stellate Ganglion; D013497:Sural Nerve / Q000502:physiology; D013564:Sympathetic Nervous System / Q000503:physiopathology*
chemical_list: D008012:Lidocaine; D010646:Phentolamine