title: Reflex sympathetic dystrophy syndrome in a child.
abstract: Reflex sympathetic dystrophy syndrome (RSDS) is a painful condition that usually follows regional trauma. We report the case of a 13-year-old girl that was seen for a painful swelling of the right hand associated with palmar hyperhidrosis, which occurred after a trauma to the hand. Bone scan images showed early tissue abnormality, which was more significant on the right hand and wrist, as well as moderate bone uptake on the right side. Nonsteroidal anti-inflammatory drugs and alternating hot and cold baths led to a marked improvement. RSDS occurs following trauma or subsequent to various diseases or drug intake. This syndrome is related to impaired tissue microvasculature under the influence of abnormal sympathetic reflex hyperactivity. Bone scan is the diagnostic procedure of choice in RSDS, but it may be normal. Physiotherapy should be preferred in pediatric cases.
authors: Department of Dermatology, Habib Thameur Hospital, Tunis, Tunisia. talel_badri@yahoo.fr
authors: Talel
authors: T
authors: Badri
authors: Salima
authors: S
authors: Ben Jennet
authors: Samy
authors: S
authors: Fenniche
authors: Rym
authors: R
authors: Benmously
authors: Inçaf
authors: I
authors: Mokhtar
authors: Hatem
authors: H
authors: Hammami
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D012019:Reflex Sympathetic Dystrophy / Q000175:diagnosis