Geisinger Commonwealth School of Medicine, Scranton, Pennsylvania.
Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania.
JBJS Case Connect. 2021 Aug 12;11(3):01709767-202109000-00078. doi: e21.00194.
An 11-year-old female patient presented to our clinic with a low-grade lateral ankle sprain that was subsequently treated with a lace-up ankle brace. On the reintroduction of weight bearing, the patient developed recurrent ankle pain and symptoms consistent with complex regional pain syndrome (CRPS) Type 1. On physical examination, the patient was found to have a concurrent chromhidrosis in the injured area, which is a novel presentation of CRPS.
Patients with CRPS found to have superficial skin discoloration should be evaluated further to investigate for chromhidrosis. Early diagnosis can improve the treatment of CRPS and allow for appropriate management of varying manifestations, such as chromhidrosis.
一位 11 岁女性患者因轻度外踝扭伤就诊于我诊所，随后使用系带式踝部支具治疗。当重新负重时，患者出现复发性踝关节疼痛和符合 1 型复杂性区域疼痛综合征（CRPS）的症状。体格检查发现患者受伤区域同时存在多汗症，这是 CRPS 的一种新表现。
发现 CRPS 患者存在皮肤浅表变色，应进一步评估是否存在多汗症。早期诊断可以改善 CRPS 的治疗，并对不同表现（如多汗症）进行适当的管理。
