Webster G F, Schwartzman R J, Jacoby R A, Knobler R L, Uitto J J
Department of Dermatology, Jefferson Medical College, Philadelphia, Pa.
Arch Dermatol. 1991 Oct;127(10):1541-4. doi: 10.1001/archderm.127.10.1541.
Reflex sympathetic dystrophy is a poorly understood syndrome of posttraumatic pain and sympathetic nervous aberration. We have observed previously unreported cutaneous manifestations of reflex sympathetic dystrophy. Seven patients with reflex sympathetic dystrophy were referred to our institution because of skin disorders. Three had recurrent ulcerating papules, and two had reticulate hyperpigmentation. Xerosis was common, and cutaneous atrophy was infrequent. Cutaneous ulceration and reticulate hyperpigmentation are previously unappreciated aspects of reflex sympathetic dystrophy. Further investigation regarding neural influences on the skin is warranted.
反射性交感神经营养不良是一种人们了解甚少的创伤后疼痛和交感神经异常综合征。我们观察到了反射性交感神经营养不良此前未被报道的皮肤表现。7例反射性交感神经营养不良患者因皮肤疾病转诊至我院。3例有复发性溃疡性丘疹，2例有网状色素沉着。皮肤干燥很常见，皮肤萎缩不常见。皮肤溃疡和网状色素沉着是反射性交感神经营养不良此前未被认识到的方面。有必要对神经对皮肤的影响做进一步研究。
