title: Extensive skin necrosis of the arm in a patient with complex regional pain syndrome.
abstract: We report a 36-year-old woman with complex regional pain syndrome (CRPS) type 1 presenting with extensive skin necrosis of the left arm. The patient cooled her arm with ice packs to ease severe pain due to CRPS, in spite of repeated cautions against frostbite injury. The regions of skin necrosis corresponded with the sites where she had applied ice packs. We considered that the severe skin necrosis in our case was due to a self-induced frostbite injury.
authors.affiliation: Departments of Dermatology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Nishikawa
authors.forename: M
authors.initials: M
authors.lastname: Tanioka
authors.forename: E
authors.initials: E
authors.lastname: Araki
authors.forename: Y
authors.initials: Y
authors.lastname: Matsumura
authors.forename: S
authors.initials: S
authors.lastname: Kore-eda
authors.forename: Y
authors.initials: Y
authors.lastname: Nakamura
authors.forename: K
authors.initials: K
authors.lastname: Nose
authors.forename: A
authors.initials: A
authors.lastname: Utani
authors.forename: Y
authors.initials: Y
authors.lastname: Miyachi
mesh_terms: D000328:Adult; D001132:Arm; D020918:Complex Regional Pain Syndromes / Q000473:pathology* / Q000628:therapy; D005260:Female; D005627:Frostbite / Q000150:complications* / Q000473:pathology; D006801:Humans; D009336:Necrosis; D012867:Skin / Q000473:pathology*