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Reflex sympathetic dystrophy in children: review of a clinical series and description of the particularities in children.
- Source :
-
Acta orthopaedica Belgica [Acta Orthop Belg] 1999 Mar; Vol. 65 (1), pp. 91-7. - Publication Year :
- 1999
-
Abstract
- Few series on reflex sympathetic dystrophy syndrome (RSDS) have included children. The present series reviewed 10 affected children. The group consisted of 9 girls and one boy with an average age at onset of 11 years (5 years to 16 years). The diagnosis was based on the clinical findings of pain, dysesthesia and autonomic system dysfunction. All patients underwent x rays and bone scans. Their results showed great variation. Minor trauma was the most common trigger factor. The lower extremities were more often involved. The treatment consisted of pain relief and progressive mobilization. Less conventional treatments in children, such as calcitonin and bisphosphonate were also used. The severity and duration of the disease varied greatly among these children. Moderate pain and sympathetic dysfunction persisted often up to two years after onset. Reflex sympathetic dystrophy is more common in children than previously thought. There are differences with the adult form in presentation and clinical course: the diagnosis is often delayed, the lower extremities are more often involved, girls are affected more often and idiopathic forms are frequent. Significant emotional dysfunction is found in a majority of patients and they are best treated as inpatients by a multidisciplinary team.
- Subjects :
- Adolescent
Affective Symptoms etiology
Calcitonin therapeutic use
Child
Diagnosis, Differential
Female
Humans
Male
Pain Management
Reflex Sympathetic Dystrophy psychology
Reflex Sympathetic Dystrophy therapy
Severity of Illness Index
Sex Factors
Stress, Psychological
Leg Injuries complications
Pain etiology
Reflex Sympathetic Dystrophy pathology
Subjects
Details
- Language :
- English
- ISSN :
- 0001-6462
- Volume :
- 65
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Acta orthopaedica Belgica
- Publication Type :
- Academic Journal
- Accession number :
- 10217008