[Sympathetically maintained pain syndrome--a case report].
Sympathetically maintained pain syndrome (SMPS) is considered to be a clinical form of reflex sympathic dystrophy. It develops usually after trauma, and consists of continuous, burning pain with sympathetic component. We present a case of this syndrome affecting both hands, that developed in a patient 3 months after severe burn injury. Intravenous fentolamine test was used to recognise sympathetic transmission of the pain. The management included regional intravenous fentolamine blocks and orally administrated phenoxybenzamine. The former gave only temporary relief; after latter improvement lasted 2 months, but patient eventually failed to recover. Diagnostic and therapeutic considerations concerning this syndrome were underlined.
Zyluk
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Klinika Chirurgii Ogólnej i Chirurgii Reki, Pomorska Akademia Medyczna w Szczecinie.
Walaszek
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D002056:Burns / Q000150:complications* / Q000503:physiopathology / Q000628:therapy; D006230:Hand Injuries / Q000150:complications* / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010148:Intractable Pain / Q000188:drug therapy* / Q000209:etiology*; D012019:Reflex Sympathetic Dystrophy / Q000188:drug therapy* / Q000209:etiology*; D012774:Shock, Traumatic / Q000150:complications / Q000503:physiopathology; D013997:Time Factors; D017211:Treatment Failure