Abstract
Complex regional pain syndrome is a disorder which is identified by clinical diagnosis. It causes immense disability after a neurological insult. It also impacts the psychological behavior of the patient. A clear history taking and clinical examination with the previous underlining muscular skeleton disorder helps in the diagnosis. The recent advancements in the management of this syndrome helped us in diagnosis and treat of our patient.
Highlights
Complex regional pain syndrome (CRPS) is a very rare chronic painful condition involving the limbs
CRPS is described by other terms like causalgia, reflex sympathetic dystrophy (RSD), algodystrophy, post- traumatic dystrophy, Sudeck atrophy and shoulder-hand syndrome characterized by searing pain, hyperalgesia, allodynia,edema of the limb along with sudomotor, vasomotor, and skin changes
Tc 99 MDP-whole body three phase skeletal scintigraphy shows mild abnormal increased radiotracer distribution noted in small joints of right foot, abnormal increased Tc99- MDP uptake noted in periarticular surfaces of right ankle joint, inter tarsal, joints, tarsometatarsal joints and metatarsophalangeal joints with no evidence of abnormal increased 99Tc-MDP uptake noted in any other small and large joints of the body with Three phase bone scan findings suggestive of reflex sympathetic dystrophic features
Summary
Complex regional pain syndrome (CRPS) is a very rare chronic painful condition involving the limbs. The case is being reported for its rarity and that it was diagnosed by careful history taking only (1)
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