Complex regional pain syndrome - type 2

Case contributed by Antoni Boscà
Diagnosis certain


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.

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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