Barbier O, Allington N, Rombouts J J
Department of Orthopedic Surgery, Cliniques Universitaires St Luc, Brussels, Belgium.
Acta Orthop Belg. 1999 Mar;65(1):91-7.
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.
很少有关于反射性交感神经营养不良综合征（RSDS）的系列研究纳入儿童。本系列研究回顾了10名患病儿童。该组包括9名女孩和1名男孩，发病时的平均年龄为11岁（5岁至16岁）。诊断基于疼痛、感觉异常和自主神经系统功能障碍的临床表现。所有患者均接受了X光检查和骨扫描。结果显示差异很大。轻微创伤是最常见的触发因素。下肢更常受累。治疗包括缓解疼痛和逐步活动。也使用了儿童较少使用的治疗方法，如降钙素和双膦酸盐。这些儿童疾病的严重程度和持续时间差异很大。中度疼痛和交感神经功能障碍通常在发病后持续长达两年。反射性交感神经营养不良在儿童中比以前认为的更常见。在表现和临床过程方面与成人形式存在差异：诊断往往延迟，下肢更常受累，女孩更常患病，特发性形式很常见。大多数患者存在明显的情感功能障碍，最好由多学科团队作为住院患者进行治疗。
