Arlet P, Arlet J, Rivière R, Duffaut M, Le Tallec Y
Sem Hop. 1982 Jun 3;58(22):1345-7.
Three observations of patients with algodystrophia of the foot are reported. Biologic disorders suggestive of osteomalacia were found in two patients who recovered after receiving vitamin D. Cushing disease was diagnosed in the remaining patient ; again algodystrophia disappeared after specific therapy was given. The few similar cases published in the medical literature are reviewed. Attention is drawn to their misleading nature. Most published cases occurred with osteomalacia or endocrinic osteopathy. Such conditions should be looked for in all patients with apparently primary algodystrophia of a lower limb.
报告了3例足部痛性营养不良患者的观察结果。在2例接受维生素D治疗后康复的患者中发现了提示骨软化症的生物学紊乱。在其余1例患者中诊断为库欣病;在给予特异性治疗后,痛性营养不良再次消失。对医学文献中发表的少数类似病例进行了综述。提请注意它们具有误导性。大多数已发表的病例发生于骨软化症或内分泌性骨病。在所有明显患有原发性下肢痛性营养不良的患者中都应寻找此类情况。