Reflex sympathetic dystrophy in childhood.
Reflex sympathetic dystrophy is characterized by constant burning pain and hyperesthesia in an extremity. Lower extremities are usually affected. Pain is accompanied by swelling, sweating, vasomotor instability and sometimes trophic changes. There may be a history of minor injury or not. Muscle spasms, myoclonus or focal dystonia may occur. Diffuse pain, loss of function and autonomic dysfunction are three main criteria suggested for diagnosis. Symptoms can last a few days to as long as a year. In this report we present a girl with multiple limb involvement of stage I RSD. The sympathetic skin responses were tested during a remission period. She had milder attacks with a recurrence rate of 4 per year in the following three years from onset.
Tekgül
Hasan
H
Department of Child Neurology, Ege University, Faculty of Medicine, Izmir, Turkey.
Serdaroglu
Guil
G
Uyar
Meltem
M
Tütüncüoglu
Sarenur
S
D000293:Adolescent; D004576:Electromyography; D005260:Female; D006801:Humans; D012019:Reflex Sympathetic Dystrophy / Q000175:diagnosis* / Q000188:drug therapy