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Complex regional pain syndrome type-1: a rare complication of arteriovenous graft placement
D Pandita1, B D Danielson, A Potti
1Department of Internal Medicine, Veterans Affairs Medical Center, University of North Dakota School of Medicine and Health Sciences, Fargo, USA. dpandita@medicine.nodak.edu
Abstract:
Complex regional pain syndrome (CRPS) type-1 (previously termed reflex sympathetic dystrophy syndrome) may be manifested as sympathetically mediated pain and swelling in an extremity. Among the numerous causes of reflex sympathetic dystrophy, the most common is trauma. We describe a 71-year-old diabetic man with endstage renal disease who presented with CRPS type-1 of the left hand one month after construction of a PTFE (polytetrafluroethylene) arteriovenous graft. The symptoms of CRPS improved greatly with stellate ganglion blocks and physical therapy.