Reflex sympathetic dystrophy

Case contributed by Craig Hacking
Diagnosis almost certain

Presentation

Bilateral foot pain. Long ICU stay for status epilepticus

Patient Data

Age: 20 years
Gender: Male
x-ray
Frontal
Oblique
Lateral
Frontal
Oblique
Lateral
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Info

Reduced bone density in the tarsals, metatarsals and phalanges in a periarticular distribution. Normal alignment, no fracture or erosions.

Case Discussion

Prolonged immobilization is a known cause for Sudeck atrophy, as are CNS disorders such as status epilepticus.

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