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Reflex sympathetic dystrophy in children.

F R Dietz1, K D Mathews, W J Montgomery

  • 1Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, Iowa City 52242.

Clinical Orthopaedics and Related Research
|September 1, 1990
PubMed
Summary
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Reflex sympathetic dystrophy (RSD) in children, a rare condition, presents with pain and autonomic instability. Early diagnosis and non-invasive treatments like massage show promise for managing pediatric RSD.

Area of Science:

  • Pediatric Neurology
  • Pain Management
  • Autonomic Dysfunction

Background:

  • Reflex sympathetic dystrophy (RSD) is infrequently documented in pediatric populations.
  • This study reviews five new pediatric cases and 80 literature cases.

Observation:

  • Clinical diagnosis relies on pain, dysesthesia, and autonomic instability.
  • Tache cérébrale, a sign of vasomotor dysfunction, is newly described in pediatric RSD.
  • Pediatric RSD commonly affects lower extremities, unlike adult presentations.

Findings:

  • Noninvasive, nonpharmacologic management approaches are generally effective.
  • A simple outpatient program of massage and mobilization benefited four of five treated patients.
  • Early recognition and intervention are crucial for successful outcomes.

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Implications:

  • Highlights the importance of recognizing pediatric RSD and its distinct features.
  • Suggests that conservative management strategies can yield positive results.
  • Informs clinical practice regarding diagnosis and treatment of childhood RSD.