Cobeta García J C, López-Longo F J, Monteagudo Sáez I, Núñez Olarte J M, Fernández García J E, Rivera Redondo J
Servicio de Reumatología, Hospital General Gregorio Marañón, Madrid.
Rev Clin Esp. 1990 May;186(8):388-90.
Reflex sympathetic dystrophy syndrome (RSDS) is a rare entity of unknown etiopathogenesis, associated to different precipitating factors such as malignant tumors of several localizations. A new clinical variety has been recently described which has been denominated palmar fasciitis and polyarthritis syndrome. We present here two patients with RSDS associated to breast cancer: one case presenting fasciitis and polyarthritis and another case also associated to polymyalgia rheumatica. We emphasize the importance of reducing the tumor mass in the treatment of this syndrome, as well as including it in the gammagraphic differential diagnosis of bone metastasis.
反射性交感神经营养不良综合征(RSDS)是一种病因不明的罕见病症,与多种诱发因素相关,如多个部位的恶性肿瘤。最近描述了一种新的临床类型,称为掌腱膜炎和多关节炎综合征。我们在此介绍两例与乳腺癌相关的RSDS患者:一例表现为筋膜炎和多关节炎,另一例还伴有风湿性多肌痛。我们强调在该综合征治疗中减少肿瘤负荷的重要性,以及将其纳入骨转移的γ照相鉴别诊断中。