Carr Emily S, De La Cerda Ashley, Fiala Katherine
Texas A&M Health Science Center College of Medicine (Carr, De La Cerda, Fiala) and the Department of Dermatology, Baylor Scott & White Health (De La Cerda, Fiala), Temple, Texas.
Proc (Bayl Univ Med Cent). 2016 Jul;29(3):333-4. doi: 10.1080/08998280.2016.11929460.
Complex regional pain syndrome (CRPS) is a neurologic disorder that often results in debilitating chronic pain, but the diagnosis may elude providers as it is one of exclusion. A history of trauma may be elucidated. We report a case of CRPS and review the clinical findings, appropriate workup, and treatment options for the patient. The patient we describe went through an extensive workup before receiving the correct diagnosis. Delay in diagnosis leads to prolonged suffering for the patient and, at times, unnecessary invasive debridement procedures. Raising awareness of this entity may help physicians make the correct diagnosis early, as well as initiate a collaborative effort between neurology, anesthesiology, and dermatology to provide the patient the most favorable outcome.
复杂性区域疼痛综合征(CRPS)是一种神经系统疾病,常导致使人衰弱的慢性疼痛,但由于其属于排除性诊断,临床医生可能难以确诊。可能会发现创伤史。我们报告一例CRPS病例,并回顾该患者的临床发现、适当的检查方法及治疗选择。我们所描述的患者在得到正确诊断之前经历了全面的检查。诊断延迟会使患者长期受苦,有时还会导致不必要的侵入性清创手术。提高对这种疾病的认识可能有助于医生早期做出正确诊断,并促使神经科、麻醉科和皮肤科共同努力,为患者提供最理想的治疗结果。