Klinik für Neurologie, Sektion für Neurologische Schmerzforschung und -therapie, Universitätsklinik Schleswig-Holstein, Campus Kiel, Kiel, Germany Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinik Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Pain. 2012 Dec;153(12):2478-2481. doi: 10.1016/j.pain.2012.08.005. Epub 2012 Sep 11.
Complex regional pain syndrome (CRPS) and postherpetic neuralgia (PHN) represent neuropathic pain syndromes that may appear with similar clinical signs and symptoms. Medical history and clinical distribution of symptoms and signs (PHN typically at the thorax; CRPS typically at the limbs) is obvious in most cases, helping to discriminate between both disorders. Here, we present a patient suffering from CRPS II following PHN of one upper extremity. This case demonstrates that both etiology and part of the body affected by a neuropathy influence the pain phenotype.
复杂性区域疼痛综合征 (CRPS) 和带状疱疹后神经痛 (PHN) 均为可能出现类似临床症状和体征的神经病理性疼痛综合征。在大多数情况下,病史和症状及体征的临床分布(PHN 通常发生在胸部;CRPS 通常发生在四肢)非常明显,有助于区分这两种疾病。在这里,我们报告了一例上肢 PHN 后发生 CRPS II 的患者。该病例表明,神经病的病因和受影响的身体部位均会影响疼痛表型。