title: [Edematous and painful leg. Pathophysiology in the spotlight: presentation of a case].
abstract: We report on a 74-year-old woman visually impaired and under treatment with amlodipine, valsartan and thyroid hormone. The patient complained of her unique, edematous and painful leg after a local trauma. The worsening was slow and gradual, affecting walk and state of mind. Several unsuccessful diagnoses were done before suspecting and confirming a Complex Regional Pain Syndrome. Edema disappeared dramatically after amlodipine empirical discontinuation. Pain improved gradually with rehabilitation exercises but, mainly, after gaining skills and self-esteem due to cataract surgery of her unique functional eye. It was necessary to decrease thyroid hormone dosage after a long lasting balance. The sympathetic nervous system role of the case is discussed.
authors: Medicina de Familia y Comunitaria, Centro de Salud Mejorada del Campo, Madrid, España. Electronic address: beatriz.estalayo@salud.madrid.org.
authors: B
authors: B
authors: Estalayo-Gutiérrez
mesh_terms: D000368:Aged; D020918:Complex Regional Pain Syndromes / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology*; D004487:Edema / Q000209:etiology; D005260:Female; D006801:Humans; D007866:Leg; D010146:Pain / Q000209:etiology
keywords: Amlodipine; Amlodipino; Ansiedad; Anxiety; Complex regional pain syndrome; Depresión; Depression; Dolor; Edema; Pain; Simpático; Sympathetic; Síndrome de dolor regional complejo; Trauma; Traumatismo