Presentation
Excessive sweating and changes in skin color of the right hand seven months after traumatic nervous and tendinous transection.
Patient Data
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Patchy osteopenia predominantly in the periarticular region of the distal interphalangeal and proximal interphalangeal joints of the 2nd, 3rd and 4th fingers. Cortical thinning of the bone is noted.
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Same radiography. Zoomed view shows the findings better.
Case Discussion
The history of traumatic transection of the nerve is consistent with a type II CRPS (formerly known as causalgia). While in type I CRPS there is no underlying nerve lesion (formerly known as reflex sympathetic dystrophy).
Images courtesy of Dr Manolo Roiz.