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Reflex sympathetic dystrophy in children

S B Ruggeri, B H Athreya, R Doughty

    Clinical Orthopaedics and Related Research
    |March 1, 1982
    PubMed
    Summary
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    Pediatric reflex sympathetic dystrophy is a self-limiting condition in children, differing from adult forms. Treatment involves physical therapy and analgesics, with steroids showing no significant benefit.

    Area of Science:

    • Pediatric neurology
    • Pain management
    • Rheumatology

    Background:

    • Reflex sympathetic dystrophy (RSD) is a complex pain condition.
    • Adult RSD is characterized by severe pain and Sudeck's atrophy.
    • Pediatric RSD presents differently than the adult form.

    Observation:

    • Six pediatric patients with reflex sympathetic dystrophy were studied between 1973 and 1978.
    • Children did not exhibit the severe pain or osteoporosis typical of adult RSD.
    • The condition in children appeared self-limiting.

    Findings:

    • Pediatric reflex sympathetic dystrophy generally responds well to mild analgesics and physical therapy.
    • Intensive inpatient physical therapy programs can be beneficial to break the pain-disability cycle.

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  • Steroid administration (dexamethasone) did not demonstrate a significant impact on the clinical course.
  • Implications:

    • Pediatric RSD management should focus on conservative treatments like physical therapy.
    • Addressing psychosocial stressors within the family environment is crucial for recovery.
    • Further research into the distinct pathophysiology of pediatric RSD is warranted.