[Algodystrophy of the lower limbs during pregnancy].
Algodystrophy (AD) of the lower limbs during pregnancy is rare and probably underdiagnosed. The physiopathologic mechanisms remain under discussion and seem multiple and complex. This report describes a retrospective survey of 6 patients seen between 1993 and 2004 who had algodystrophy of the lower limbs during pregnancy. Comparing the clinical, radiological and evolutionary results to the literature allows for identifying the main features of AD during pregnancy: disease progression during the second or third trimester, preferential localization of the left hip associated or not with other lower limb joint involvement and decalcification as seen on radiography. Magnetic resonance imaging (MRI), which is accurate, specific and non-invasive, is currently the exam of choice in early and differential diagnosis. The evolution is favourable in a few months, with general recovery without disability.
Service de Rhumatologie, CHU Hedi-Chaker, 3029 Sfax, Tunisie. monasellami@yahoo.fr
M
M
Sellami
F
F
Frikha
H
H
Fourati
M
M
Ezzedine
N
N
Hdiji
M-H
MH
Elleuch
S
S
Baklouti
D000328:Adult; D003937:Diagnosis, Differential; D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007866:Leg / Q000000981:diagnostic imaging; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000503:physiopathology; D011262:Pregnancy Trimester, Second; D011263:Pregnancy Trimester, Third; D011859:Radiography; D011877:Radionuclide Imaging; D012019:Reflex Sympathetic Dystrophy / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000503:physiopathology; D013997:Time Factors