Department of Anesthesiology and Critical Care, BPKIHS, Dharan, Nepal.
Korean J Pain. 2011 Jun;24(2):112-4. doi: 10.3344/kjp.2011.24.2.112. Epub 2011 Jun 3.
Due to its complex pathophysiology and wide spectrum of clinical manifestations, the diagnosis of CRPS is often missed in the early stage by primary care physicians. After being treated by a primary care physician for 5 months for chronic cellulitis, a 16-year-old girl was referred to our hospital with features of type-1 CRPS of the right upper extremity. Inability to diagnose early caused prolonged suffering to the girl with all the consequence of CRPS. The patient responded well with marked functional recovery from multimodal therapy. Ability to distinguish CRPS from other pain conditions, referral for specialty care at the appropriate time and full awareness of this condition and its clinical features among various healthcare professionals are essential in reducing patient suffering and stopping its progression towards difficult-to-treat situations.
由于其复杂的病理生理学和广泛的临床表现，CRPS 在早期经常被初级保健医生漏诊。一位 16 岁的女孩因右上肢 1 型 CRPS 被转至我院，此前她曾在初级保健医生处接受了 5 个月的慢性蜂窝织炎治疗。由于未能早期诊断，导致该女孩遭受了长时间的痛苦，并且出现了 CRPS 的所有后果。该患者经多模式治疗后反应良好，功能明显恢复。在各种医疗保健专业人员中，区分 CRPS 与其他疼痛状况、及时转至专科治疗以及充分了解这种疾病及其临床特征，对于减轻患者痛苦和阻止其向难以治疗的情况发展至关重要。
