Dietz F R, Mathews K D, Montgomery W J
Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, Iowa City 52242.
Clin Orthop Relat Res. 1990 Sep(258):225-31.
Reflex sympathetic dystrophy (RSD) is an uncommonly reported entity in children. This paper reports five cases of RSD in children and summarizes 80 cases of pediatric RSD reported in the literature. The diagnosis is based on the clinical findings of pain, dysesthesia, and autonomic instability. Tache cérébrale, not previously described in the diagnosis of RSD, is a helpful sign of vasomotor dysfunction. RSD in childhood frequently affects the lower extremities, in contrast to the adult localization around the shoulders and hands. Noninvasive, nonpharmacologic management is generally successful. A simple outpatient program of massage and mobilization was beneficial in four of the five patients treated in this study.
反射性交感神经营养不良（RSD）在儿童中是一种报道较少见的病症。本文报告了5例儿童RSD病例，并总结了文献中报道的80例儿童RSD病例。诊断基于疼痛、感觉异常和自主神经不稳定的临床表现。脑点征（之前在RSD诊断中未被描述）是血管运动功能障碍的一个有用体征。与成人RSD常累及肩部和手部不同，儿童期RSD常影响下肢。非侵入性、非药物治疗通常是成功的。本研究中接受治疗的5例患者中有4例通过简单的门诊按摩和活动方案获益。
