Abstract
Complex regional pain syndrome type 1 (CRPS 1), formerly known as reflex sympathetic dystrophy (RSD), is characterized by pain, sensory and vasomotor disturbances, trophic changes and impaired motor function. The pathogenesis of this syndrome is poorly understood, but its onset is often precipitated by a physical injury, such as minor trauma, fracture, infection or a surgical procedure. Medical interventions included those that were pharmacological (simple analgesics, nonsteroidal anti-inflammatory drugs, tricyclic antidepressants, calcitonin, biphosphonate), those stemming from physiotherapy and those that were interventional (sympathetic blocks, surgery, sympathectomies). Herein, we report the case of a eight-year-old girl who was seen for a painful swelling of the right arm and hand, which occurred after a trauma to the shoulder. Her clinical findings returned to normal with intensive physiotherapy and a nonsteroidal anti-inflammatory drug. It is worthy of reporting since CRPS 1 is seen rarely in children.
Keywords
Abstract
Kompleks bölgesel ağrı sendromu tip 1 (KBAS 1), eskiden refleks sempatik distrofi olarak bilinen, ağrı, sensoriyal ve motor dengesizlik, trofik değişiklikler ve motor fonksiyonda yetersizlik ile karakterizedir. Bu sendromun patogenezi net olarak bilinmemekle birlikte, sıklıkla travma, kırık, enfeksiyon veya cerrahi bir işlemin başlattığı düşünülmektedir. Tedavide ilaçlar (basit analjezikler, nonsteroidal antiinflamatuvarlar, trisiklik antideprasanlar, kalsitonin, bifosfonatlar), fizyoterapi ve girişimsel müdahaleler (sempatik blokaj, cerrahi, sempatektomi) kulanılmaktadır. Bu yazıda, omuz travması sonrası, sağ el ve kolda ağrılı şişlik şikayetiyle başvuran sekiz yaşındaki kız hasta tartışıldı. Yoğun fizik tedavi programı ve nonsteroidal antiinflamatuvar tedavi ile klinik bulguları düzelen olgu, çocuklarda nadir görülmesi nedeni ile sunuldu.
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Details
| Other ID | JA34HV77FV |
|---|---|
| Journal Section | Case Reports |
| Authors | |
| Publication Date | December 1, 2014 |
| Submission Date | December 1, 2014 |
| Published in Issue | Year 2014Volume: 53 Issue: 4 |
