title: Pediatric complex regional pain syndrome: a review.
abstract: Complex regional pain syndrome (CRPS) is a chronic, intensified localized pain condition that can affect children and adolescents as well as adults, but is more common among adolescent girls. Symptoms include limb pain; allodynia; hyperalgesia; swelling and/or changes in skin color of the affected limb; dry, mottled skin; hyperhidrosis and trophic changes of the nails and hair. The exact mechanism of CRPS is unknown, although several different mechanisms have been suggested. The diagnosis is clinical, with the aid of the adult criteria for CRPS. Standard care consists of a multidisciplinary approach with the implementation of intensive physical therapy in conjunction with psychological counseling. Pharmacological treatments may aid in reducing pain in order to allow the patient to participate fully in intensive physiotherapy. The prognosis in pediatric CRPS is favorable.
authors.affiliation: Pediatric Rheumatology Unit, Department of Pediatrics, Meir Medical Center, 49 Tshernichovsky St., Kfar Saba, 44281, Israel.|Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Rotem
authors.initials: R
authors.lastname: Weissmann
authors.affiliation: Pediatric Rheumatology Unit, Department of Pediatrics, Meir Medical Center, 49 Tshernichovsky St., Kfar Saba, 44281, Israel. uziely@zahav.net.il.|Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. uziely@zahav.net.il.
authors.forename: Yosef
authors.initials: Y
authors.lastname: Uziel
mesh_terms: D000293:Adolescent; D000700:Analgesics / Q000494:pharmacology*; D020918:Complex Regional Pain Syndromes / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D059408:Pain Management / Q000379:methods; D010147:Pain Measurement / Q000379:methods; D026741:Physical Therapy Modalities; D011379:Prognosis; D011580:Psychological Techniques; D012737:Sex Factors
chemical_list: D000700:Analgesics
keywords: CRPS; Chronic pain; Complex regional pain syndrome; Pain amplification syndrome; Pediatric