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2016 ; 14
(1
): 29
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Pediatric complex regional pain syndrome: a review
#MMPMID27130211
Weissmann R
; Uziel Y
Pediatr Rheumatol Online J
2016[Apr]; 14
(1
): 29
PMID27130211
show ga
Complex regional pain syndrome (CRPS) is a chronic, intensified localized pain
condition that can affect children and adolescents as well as adults, but is more
common among adolescent girls. Symptoms include limb pain; allodynia;
hyperalgesia; swelling and/or changes in skin color of the affected limb; dry,
mottled skin; hyperhidrosis and trophic changes of the nails and hair. The exact
mechanism of CRPS is unknown, although several different mechanisms have been
suggested. The diagnosis is clinical, with the aid of the adult criteria for
CRPS. Standard care consists of a multidisciplinary approach with the
implementation of intensive physical therapy in conjunction with psychological
counseling. Pharmacological treatments may aid in reducing pain in order to allow
the patient to participate fully in intensive physiotherapy. The prognosis in
pediatric CRPS is favorable.