title: Heroin-induced rhabdomyolysis as a cause of reflex sympathetic dystrophy.
abstract: Reflex sympathetic dystrophy is an excessive or abnormal response of the sympathetic nervous system in an extremity to an injury or other condition. The authors describe a 37-year-old man who experienced constant pain and vasomotor instability in both feet after nontraumatic rhabdomyolysis secondary to smoking heroin. Three-phase bone scintigraphy was performed and revealed significantly increased blood-flow, blood-pool, and delayed-phase radioactivity. The follow-up three-phase bone scinitigram showed less radiotracer uptake that was consistent with a good response to calcitonin therapy. Heroin-induced rhabdomyolysis should be added to the list of precipitating conditions that can induce this syndrome.
authors: Department of Nuclear Medicine, National Cheng-Kung University Hospital, Tainan, Taiwan.
authors: B F
authors: BF
authors: Lee
authors: N T
authors: NT
authors: Chiu
authors: W H
authors: WH
authors: Chen
authors: G C
authors: GC
authors: Liu
authors: H S
authors: HS
authors: Yu
mesh_terms: D000328:Adult; D002116:Calcitonin / Q000627:therapeutic use; D006556:Heroin Dependence / Q000150:complications*; D006801:Humans; D008297:Male; D011877:Radionuclide Imaging; D012019:Reflex Sympathetic Dystrophy / Q000139:chemically induced* / Q000000981:diagnostic imaging* / Q000188:drug therapy; D012206:Rhabdomyolysis / Q000139:chemically induced* / Q000188:drug therapy
chemical_list: D002116:Calcitonin