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Algodystrophy (reflex sympathetic dystrophy) complicating unilateral acrodermatitis continua.

C J Stephens, D H McGibbon

    Clinical and Experimental Dermatology
    |November 1, 1989
    PubMed
    Summary

    A patient developed severe algodystrophy and osteoporosis after trauma to her hand, leading to a rare skin condition called acrodermatitis continua (psoriasis of Hallopeau). The persistent pain and poor treatment response likely contributed to these complications.

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    Area of Science:

    • Dermatology
    • Rheumatology
    • Pain Medicine

    Background:

    • Acrodermatitis continua (psoriasis of Hallopeau) is a rare, chronic inflammatory skin disease.
    • Trauma can be a precipitating factor for certain dermatological conditions.
    • Complex regional pain syndrome (CRPS), or algodystrophy, involves pain, swelling, and changes in skin and bone.

    Observation:

    • A 65-year-old female experienced hand trauma, followed by the development of acrodermatitis continua.
    • The patient's skin condition was characterized by persistent pain and resistance to treatment.
    • A severe algodystrophy with significant underlying osteoporosis was subsequently observed.

    Findings:

    • The case suggests a potential link between acrodermatitis continua and the development of severe algodystrophy.

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  • Persistent pain and psychological distress associated with chronic skin conditions may contribute to algodystrophy.
  • Underlying osteoporosis was a notable comorbidity in this patient.

    • Implications:

    • This case highlights the complex interplay between skin disease, pain, and neurological/skeletal complications.
    • Further research is warranted to understand the mechanisms connecting chronic inflammatory dermatoses to algodystrophy and osteoporosis.
    • Clinicians should consider the possibility of algodystrophy in patients with chronic, painful skin conditions, especially those with poor treatment response.