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
From the case:
Complex regional pain syndrome - type 2
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/65059/annotated_viewer_json?_c=1709291828\u0026lang=us"}
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.
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/65110/annotated_viewer_json?_c=1709291828\u0026lang=us"}
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.
Unable to process the form. Check for errors and try again.