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Related Experiment Videos

"Fever in the Hand"

Silber1

  • 1Adolescent Medicine, CNMC, 111 Michigan Avenue, N.W., Washington, D.C., 20010-2970, USA.

Adolescent Medicine (Philadelphia, Pa.)
|October 1, 1996
PubMed
Summary
This summary is machine-generated.

This case study highlights reflex sympathetic dystrophy syndrome in an adolescent with anorexia nervosa. Prompt diagnosis and sympathetic ganglion blocks led to a full recovery, demonstrating effective treatment for this rare condition.

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Area of Science:

  • Pediatric Endocrinology
  • Adolescent Medicine
  • Pain Management

Background:

  • Anorexia nervosa can lead to various complications beyond nutritional deficiencies.
  • Reflex sympathetic dystrophy syndrome (RSDS) is a rare but severe condition affecting the extremities.
  • Adolescents with eating disorders may present with unusual symptoms requiring comprehensive evaluation.

Purpose of the Study:

  • To report a case of reflex sympathetic dystrophy syndrome in a 14-year-old female with anorexia nervosa.
  • To illustrate the diagnostic challenges and treatment outcomes for RSDS in this specific patient population.
  • To emphasize the importance of considering complex differential diagnoses in adolescents with atypical symptoms.

Main Methods:

  • Clinical presentation and physical examination findings of a 14-year-old female with anorexia nervosa.

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  • Diagnostic imaging, including bone scan, to assess vascular flow.
  • Therapeutic interventions, specifically multiple sympathetic ganglion blocks.
  • Monitoring of plethysmographic changes and clinical recovery.

    • Main Results:

    • The patient presented with severe pain, swelling, and altered circulation in her dominant hand.
    • Bone scan revealed significantly reduced blood flow to the affected hand.
    • Eight sympathetic ganglion blocks were administered, resulting in temporary Horner's syndrome.
    • The patient experienced favorable plethysmographic changes and achieved complete recovery.

    Conclusions:

    • Reflex sympathetic dystrophy syndrome can occur in adolescents with anorexia nervosa, presenting with complex symptoms.
    • Sympathetic ganglion blocks can be an effective treatment for RSDS, even in challenging cases.
    • Early diagnosis and intervention are crucial for favorable outcomes in pediatric RSDS.
    • This case underscores the need for a broad differential diagnosis in adolescents with unexplained pain and vascular changes.