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[Edematous and painful leg. Pathophysiology in the spotlight: presentation of a case].

作者信息

Estalayo-Gutiérrez B

机构信息

Medicina de Familia y Comunitaria, Centro de Salud Mejorada del Campo, Madrid, España.

出版信息

Semergen. 2013 Nov-Dec;39(8):e75-8. doi: 10.1016/j.semerg.2012.07.012. Epub 2012 Sep 14.

Abstract

We report on a 74-year-old woman visually impaired and under treatment with amlodipine, valsartan and thyroid hormone. The patient complained of her unique, edematous and painful leg after a local trauma. The worsening was slow and gradual, affecting walk and state of mind. Several unsuccessful diagnoses were done before suspecting and confirming a Complex Regional Pain Syndrome. Edema disappeared dramatically after amlodipine empirical discontinuation. Pain improved gradually with rehabilitation exercises but, mainly, after gaining skills and self-esteem due to cataract surgery of her unique functional eye. It was necessary to decrease thyroid hormone dosage after a long lasting balance. The sympathetic nervous system role of the case is discussed.

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