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新冠疫苗接种后复杂性区域疼痛综合征:一份自传体病例报告

Complex Regional Pain Syndrome Post COVID-19 Vaccine Shot: An Autobiographical Case Report.

作者信息

Raman Praveena

机构信息

Oral Medicine and Radiology, Sathyabama Dental College and Hospital, Chennai, IND.

出版信息

Cureus. 2021 Dec 8;13(12):e20257. doi: 10.7759/cureus.20257. eCollection 2021 Dec.

Abstract

Complex regional pain syndrome (CRPS) is a pathological exaggeration caused by trauma from injections and vaccine administration characterized by severe pain (often burning), hyperesthesia, allodynia, edema, vasomotor changes, decreased range of motion, hyperhidrosis, and trophic changes. It occurs at all ages with female predominance, and the incidence increases until late middle age. Hand and foot involvement is well recognized, and this may spread proximally. Treatment usually requires a multimodal approach, including medications and physical and cognitive therapy. Reports of CRPS after vaccination are rare. The incidence of CRPS post coronavirus disease 2019 (COVID-19) vaccination is not yet reported. This case report describes my experience with deltoid hematoma, tennis elbow, and living with CRPS post COVID-19 vaccine shot, including the psychosocial adaptations I made in my day-to-day life.

摘要

复杂性区域疼痛综合征(CRPS)是由注射和疫苗接种所致创伤引起的一种病理性过度反应,其特征为严重疼痛(常为灼痛)、感觉过敏、痛觉过敏、水肿、血管舒缩改变、活动范围减小、多汗以及营养性改变。各年龄段均可发生,女性居多,发病率在中年后期之前会不断上升。手部和足部受累较为常见,且可能向近端蔓延。治疗通常需要采取多模式方法,包括药物治疗以及物理和认知疗法。接种疫苗后发生CRPS的报告较为罕见。2019冠状病毒病(COVID-19)疫苗接种后CRPS的发病率尚未见报道。本病例报告描述了我在接种COVID-19疫苗后出现三角肌血肿、网球肘以及患有CRPS的经历,包括我在日常生活中所做的心理社会调适。

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