Reflex sympathetic dystrophy with hidradenitis suppurativa exacerbation: a case report.
Reflex sympathetic dystrophy (RSD) or complex regional pain syndrome type 1, is characterized by spontaneous pain or allodynia and hyperalgesia disproportionate to the inciting event, multiperipheral nerve involvement, edema, vasomotor or sudomotor change, and possible loss of function. It has been described in relation to various insults, including a number of infectious and inflammatory conditions. We report a case of a patient who developed RSD 1 week after an exacerbation of hidradenitis suppurativa, a rare chronic inflammatory disease of apocrine sweat glands. The patient responded well to a combination of range-of-motion exercises, thermal modalities, and oral steroids. Hidradenitis suppurativa should be considered when searching for an etiology of new onset RSD.
Rusk Institute of Rehabilitation Medicine, Department of Rehabilitation Medicine, New York University School of Medicine, New York, NY 10016, USA. alexmoroz@pol.net
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Moroz
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Lee
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Clark
D000368:Aged; D000369:Aged, 80 and over; D017497:Hidradenitis Suppurativa / Q000150:complications*; D006801:Humans; D008297:Male; D009788:Occupational Therapy / Q000379:methods; D016059:Range of Motion, Articular; D012019:Reflex Sympathetic Dystrophy / Q000382:microbiology* / Q000534:rehabilitation*