Cayla J, Chaouat D, Rondier J, Guérin K, Frugier J C
Rev Rhum Mal Osteoartic. 1978 Feb;45(2):89-94.
Four cases of neurotrophic rheumatism during the course of pregnancy are reported. Observations in 9 cases from the literature allowed the isolation of the principal features of this sort of algodystrophy. It occurs in the last trimester of pregnancy, attacking usually and almost exclusively the lower limbs, especially the left hip. There is rapid resolution after delivery, occasionally preceded by a rebound in the post-partum period. Responsability of pregnancy as the cause of the neurotrophic rheumatism is not in much doubt. It apparently arises from a shift of mechanical factors linked with the uterine enlargement which without doubt causes pressure of the pelvic sympathetics.
本文报告了4例妊娠期发生的神经营养性风湿病。对文献中9例病例的观察总结出了这类痛性营养不良的主要特征。该病发生于妊娠晚期，通常几乎仅累及下肢，尤其是左髋部。产后病情迅速缓解，偶尔在产后会有病情反弹。妊娠作为神经营养性风湿病病因的可能性很大。它显然是由与子宫增大相关的机械因素改变引起的，子宫增大无疑会对盆腔交感神经造成压迫。
