Weise W J, Bernard D B
Evans Memorial Department of Clinical Research, University Hospital, Boston University School of Medicine, MA.
Am J Kidney Dis. 1991 Sep;18(3):406-8. doi: 10.1016/s0272-6386(12)80105-3.
Reflex sympathetic dystrophy syndrome (RSDS), a complex clinical syndrome characterized by pain and swelling of an affected extremity, is most commonly seen after trauma. We report the case of a woman with diabetes mellitus and chronic renal failure who presented with RSDS 5 months after placement of an arteriovenous (AV) graft for hemodialysis. The temporal relationship between RSDS and the vascular surgery suggests AV graft placement as the precipitating event for the development of RSDS. Treatment with systemic corticosteroids successfully relieved the patient's symptoms. We believe that RSDS should be included in the differential diagnosis of unexplained limb pain and swelling after AV graft placement.
反射性交感神经营养不良综合征（RSDS）是一种以患肢疼痛和肿胀为特征的复杂临床综合征，最常见于创伤后。我们报告了一例患有糖尿病和慢性肾衰竭的女性病例，该患者在接受动静脉（AV）内瘘置入术进行血液透析5个月后出现了RSDS。RSDS与血管手术之间的时间关系表明，AV内瘘置入是RSDS发生的诱发事件。全身使用皮质类固醇治疗成功缓解了患者的症状。我们认为，在AV内瘘置入术后出现无法解释的肢体疼痛和肿胀时，应将RSDS纳入鉴别诊断。
