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[Reflex sympathetic dystrophy: description of a case with skin lesions]
Aránzazu Vergara1, María J Isarría, María Prado Sánchez-Caminero
1Servicio de Dermatología, Hospital Universitario 12 de Octubre, Madrid, Spain. aranvergara@yahoo.es
Abstract:
Reflex sympathetic dystrophy or algodystrophy is a poorly defined syndrome in which the patient develops pain disproportionate to the cause. It is included among the complex regional pain syndromes. The symptoms are triggered by some type of trauma, at times trivial, and consist of burning pain, edema, changes in skin color, alterations in vascularization, temperature changes, hyperhidrosis and skin disorders, which primarily consist of atrophic changes. Other less frequent cutaneous manifestations have been described in patients with this syndrome. These include papules, blisters, inflammatory lesions and reticulated hyperpigmentation. We discuss the case of a patient with reflex sympathetic dystrophy who presented with superficial ulcers on the affected limb, which mimicked dermatitis artefacta.
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