title: Cervical mass lesion presenting as reflex sympathetic dystrophy of the hand.
abstract: A case with multiple small joint swelling and skin dystrophic changes in the right hand was initially treated as seronegative non-specific arthritis. Later, a triple phase bone scan indicated reflex sympathetic dystrophy (RSD) and the primary lesion was shown on MRI scan to be a cervical cord mass with associated sub-acute haematoma. The case underscores the need to consider RSD in the differential diagnosis of such conditions and the importance of a detailed neurological examination in RSD with no local causative factor.
authors.affiliation: Department of Nuclear Medicine, INMAS, Delhi, India.
authors.forename: A
authors.initials: A
authors.lastname: Bhatnagar
authors.forename: K
authors.initials: K
authors.lastname: Chakraborty
authors.forename: M M
authors.initials: MM
authors.lastname: Mehndiratta
authors.forename: A
authors.initials: A
authors.lastname: Jena
authors.forename: N L
authors.initials: NL
authors.lastname: Soni
authors.forename: A
authors.initials: A
authors.lastname: Mondal
mesh_terms: D001842:Bone and Bones / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D006258:Head and Neck Neoplasms / Q000175:diagnosis*; D006406:Hematoma / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011877:Radionuclide Imaging; D012019:Reflex Sympathetic Dystrophy / Q000175:diagnosis*; D013118:Spinal Cord Diseases / Q000175:diagnosis*; D013120:Spinal Cord Neoplasms / Q000175:diagnosis*