Complex regional pain syndrome - type 2

Case contributed by Dr Antoni Boscà

Presentation

Excessive sweating and changes in skin color of the right hand seven months after traumatic nervous and tendinous transection.

Patient Data

Age: 30 years
Gender: Male

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.

X-ray

Zoomed view

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.

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Case information

rID: 58026
Published: 29th Jan 2018
Last edited: 23rd Jan 2020
Inclusion in quiz mode: Included

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