Citation

Gofiţă CE, Mușetescu AE, Ciurea PL, Boldeanu MV, Trăistaru MR, Bumbea AM, Rogoveanu OC. Curr. Health Sci. J. 2019; 45(3): 321-328.

Affiliation

Department of Medical Rehabilitation, University of Medicine and Pharmacy of Craiova, Romania.

Copyright

(Copyright © 2019, Medical University Publishing House)

DOI

10.12865/CHSJ.45.03.12

PMID

32042462

PMCID

PMC6993760

Abstract

The complex regional pain syndrome (CRPS) is a neuropathic disorder, often precipitated by a fracture, injury of the soft tissue or a surgical procedure followed by extended immobilization. Clinical signs and symptoms of this syndrome include abnormalities of pain processing (mechanical and thermal allodynia, hyperalgesia and hyperpathia), skin changes regarding local temperature and the presence of erythema, cyanosis or mottled appearance, neurogenic edema, motor and trophic disorders. The CRPS has three evolutionary stages-acute, dystrophic and atrophic, and it is divided into two types, reflecting the absence or presence of nerve damage. The patient presented in this study was a female with a history of metabolic syndrome, diagnosed with polyarticular chronic gout, which despite the specific drug treatment administered, had multiple predisposing factors for the development of CRPS consecutive to the fracture of both bones of the right forearm. It is evident that the recovery period after injury is slightly different in each individual and depends on the severity of the injury and patient factors such as age, general condition and the presence of other comorbidities. The delay between the onset of symptoms and her presentation to the physician, conferred a poor prognosis for the developing pathology, with important functional and motor impairment.

Copyright © 2019, Medical University Publishing House Craiova.

Language: en

Keywords

CRPS; metabolic syndrome; nerve lesion; neurovegetative dystonia