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Reflex sympathetic dystrophy.


 
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1. Title Title of document Reflex sympathetic dystrophy.
 
2. Creator Author's name, affiliation, country Marta Oliveira; Serviço de Pediatria, Hospital Dona Estefânia (CHLC), Lisbon, Portugal.; Portugal
 
2. Creator Author's name, affiliation, country Manuela Manuela; Portugal
 
2. Creator Author's name, affiliation, country Guilhermina Cantinho; Portugal
 
3. Subject Discipline(s)
 
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4. Description Abstract Reflex Sympathetic Dystrophy is rare in pediatrics. It is a complex regional pain syndrome, of unknown etiology, usually post-traumatic, characterized by dysfunctions of the musculoskeletal, vascular and skin systems: severe persistent pain of a limb, sensory and vascular alterations, associated disability and psychosocial dysfunction. The diagnosis is based in high clinical suspection. In children and adolescents there are aspects that are different from the adult ones. Excessive tests may result in worsening of the clinical symptoms. Bone scintigraphy can help. Pain treatment is difficult, not specific. Physical therapies and relaxation technics give some relief. Depression must be treated. This syndrome includes fibromyalgia and complex regional pain syndrome type I. We present a clinical report of an adolescent girl, referred for pain, cold temperature, pallor and functional disability of an inferior limb, all signals disclosed by a minor trauma. She had been diagnosed depression the year before. The bone scintigraphy was a decisive test. The treatment with gabapentin, C vitamin, physiotherapy and pshycotherapy has been effective.
 
5. Publisher Organizing agency, location Ordem dos Médicos
 
6. Contributor Sponsor(s)
 
7. Date (YYYY-MM-DD) 2012-06-20
 
8. Type Status & genre article
 
8. Type Type
 
9. Format File format PDF (Português)
 
10. Identifier Uniform Resource Identifier https://actamedicaportuguesa.com:443/revista/index.php/amp/article/view/1403
 
10. Identifier Digital Object Identifier (DOI) http://dx.doi.org/10.20344/amp.1403
 
11. Source Title; vol., no. (year) Acta Médica Portuguesa; Vol 24, No 6 (2011): Novembro-Dezembro
 
12. Language English=en
 
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
 
15. Rights Copyright and permissions Copyright (c)