title: [Reflex sympathetic dystrophy involving the ankle in pregnancy: characteristics and therapeutic management].
abstract: We report the case of a multigravida presenting in the first trimester of pregnancy with reflex sympathetic dystrophy involving both ankles. Preferential location of reflex sympathetic dystrophy in pregnancy is classically the hip (9 times out of 10). Symptoms develop mostly with primipara in the third trimester of pregnancy or in post-partum. Fracture is the major risk of reflex sympathetic dystrophy. Peculiarities of reflex sympathetic dystrophy's treatment in the course of pregnancy are evoked. The end of the pregnancy can be shortened with the aim of stabilizing disease even to activate its healing. Pathophysiologic mechanisms of reflex sympathetic dystrophy in pregnancy seem multiple and complex. Our observation, by its atypical characteristics, recalls it.
authors.affiliation: Clinique gynécologique et obstétricale, hôpital Charles-Nicolle, CHU de Rouen, 1, rue de Germont, 76031 Rouen cedex, France. Fabrice.Sergent@chu-rouen.fr
authors.forename: F
authors.initials: F
authors.lastname: Sergent
authors.forename: D
authors.initials: D
authors.lastname: Mouroko
authors.forename: R
authors.initials: R
authors.lastname: Sellam
authors.forename: L
authors.initials: L
authors.lastname: Marpeau
mesh_terms: D000328:Adult; D000842:Ankle; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications; D011261:Pregnancy Trimester, First; D012019:Reflex Sympathetic Dystrophy / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D012307:Risk Factors