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Recurrent and migratory reflex sympathetic dystrophy syndrome.
P Barrera1, P L van Riel, A J de Jong
1Department of Rheumatic Diseases, University Hospital Nijmegen, The Netherlands.
Clinical Rheumatology
|September 1, 1992
Summary
This case study details recurrent reflex sympathetic dystrophy syndrome (RSDS) affecting three limbs consecutively in one patient. Early physiotherapy and diclofenac treatment led to full recovery without lasting effects.
Area of Science:
- Neurology
- Pain Medicine
- Rheumatology
Background:
- Reflex Sympathetic Dystrophy Syndrome (RSDS) is a complex regional pain syndrome.
- RSDS typically affects a single limb and is often underdiagnosed.
Observation:
- A case of recurrent RSDS involving three extremities consecutively over four years in an otherwise healthy adult.
- Episodes occurred without apparent precipitating events, affecting both lower legs and the left hand sequentially.
Findings:
- The patient experienced three distinct RSDS episodes over a four-year period.
- Early intervention with physiotherapy and diclofenac resulted in complete resolution of symptoms without sequelae.
Implications:
- This case highlights the possibility of recurrent and multi-limb involvement in RSDS, even in healthy individuals.
- It underscores the importance of early diagnosis and prompt treatment for favorable outcomes in complex pain syndromes.