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Morbidity in reflex sympathetic dystrophy.

C S Murray1, A Cohen, T Perkins

  • 1Department of Paediatric Rheumatology, Royal Liverpool Childrens Hospital, Eaton Road, Liverpool L12 2AP, UK.

Archives of Disease in Childhood
|February 24, 2000
PubMed
Summary
This summary is machine-generated.

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Reflex sympathetic dystrophy (RSD) in children is rare but causes significant morbidity. Early diagnosis and appropriate management, including physiotherapy and analgesics, are crucial for recovery and preventing relapses.

Area of Science:

  • Pediatric Rheumatology
  • Pain Management
  • Childhood Neurological Disorders

Background:

  • Reflex sympathetic dystrophy (RSD) is an uncommon diagnosis in general pediatrics.
  • It is, however, well-recognized by pediatric rheumatologists.
  • RSD can lead to significant morbidity in children.

Purpose of the Study:

  • To report the presentation and clinical course of pediatric RSD patients.
  • To highlight the importance of early recognition and management.
  • To inform clinicians about this rare childhood condition.

Main Methods:

  • Retrospective review of 46 pediatric patients diagnosed with RSD.
  • Analysis of patient demographics, history, time to diagnosis, treatments, and outcomes.
  • Inclusion of data on multidisciplinary involvement and psychiatric assessment.

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Main Results:

  • The study included 46 patients (35 female, age 8-15.2 years).
  • Median time to diagnosis was 12 weeks, with patients seeing an average of 2.3 specialties.
  • Median recovery time was 7 weeks, with 27.5% experiencing relapses; 9 children needed psychiatric assessment.

Conclusions:

  • Raising clinician awareness of RSD in childhood is important.
  • Earlier recognition and referral can lead to appropriate management.
  • Prompt treatment can spare children unnecessary investigations and treatments, potentially preventing condition exacerbation.