Lurati Ann Regina
1 California State University, Monterey Bay.
Workplace Health Saf. 2018 Apr;66(4):169-172. doi: 10.1177/2165079917736786. Epub 2017 Nov 9.
A 36-year-old woman sustained a Grade 2 ankle sprain at work. Two days after the injury, the ankle and foot became red and she complained of "intense burning pain." First diagnosed with complex reflex sympathetic dystrophy, the employee was prescribed medications that provided some pain relief; a subsequent temporary nerve block provided additional relief. However, the symptoms returned and she was treated unsuccessfully with surgical sympathectomy. The employee was referred to a neurologist and diagnosed with primary erythromelalgia, a rare pain disorder that can be mistaken as complex reflex sympathetic dystrophy.
一名36岁女性在工作时脚踝发生二级扭伤。受伤两天后，脚踝和脚部变红，她称感到“剧烈灼痛”。该员工最初被诊断为复杂性区域疼痛综合征，医生给她开了一些能缓解疼痛的药物；随后进行的一次临时神经阻滞提供了更多缓解。然而，症状复发，她接受的交感神经切除术治疗并未成功。该员工被转诊至神经科医生处，被诊断为原发性红斑性肢痛症，这是一种罕见的疼痛疾病，可能被误诊为复杂性区域疼痛综合征。
