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[Reflex algodystrophy of the lower limbs during pregnancy]
Revue Du Rhumatisme Et Des Maladies Osteo-Articulaires
|February 1, 1978
Summary
Pregnancy can cause neurotrophic rheumatism, a type of algodystrophy, typically affecting the lower limbs in the third trimester. Symptoms rapidly resolve after childbirth, suggesting a link to mechanical factors from uterine growth impacting pelvic nerves.
Area of Science:
- Obstetrics and Gynecology
- Rheumatology
- Neurology
Background:
- Neurotrophic rheumatism, a form of algodystrophy, is rarely observed during pregnancy.
- Understanding its etiology and clinical presentation is crucial for timely diagnosis and management.
Observation:
- This report details four cases of neurotrophic rheumatism during pregnancy.
- An additional nine cases from existing literature were analyzed to identify key features.
- The condition predominantly affects lower limbs, particularly the left hip, in the final trimester of gestation.
Findings:
- Neurotrophic rheumatism during pregnancy typically manifests in the last trimester.
- Lower limb involvement, especially the left hip, is characteristic.
- Rapid resolution post-delivery is common, sometimes with a transient postpartum rebound.
Implications:
- Pregnancy is strongly implicated as the causative factor for this condition.
- Mechanical shifts due to uterine enlargement, leading to pelvic sympathetic nerve pressure, are the likely mechanism.
- This understanding aids in differentiating pregnancy-related pain from other rheumatologic conditions.