Author/Editor     Špegel, Milan
Title     Kompleksni regionalni bolečinski sindrom pri otrocih
Translated title     Complex regional pain syndrome in children
Type     članek
Source     Zdrav Vestn
Vol. and No.     Letnik 71, št. 1
Publication year     2002
Volume     str. 35-8
Language     slo
Abstract     Background. In children with unexplained pain in distal part of extremity associated with edema, abnormal skin color, temperature change, complex regional pain syndrome (CRPS) must be considered. This pain syndrome requires the presence of regional pain and sensory changes associated with abnormal skin color, temperature change, abnormal sudomotor activity or edema. Signs and symptoms are disproportionate to the inciting event. There are two types of CRPS: type I occurs without a definable nerve lesion and type 11, where a definable nerve lesion is present. Diagnosis is clinical Conclusions. CRPS is not yet suspected in children, those affected often have many unnecessary investigations and may be unsuitable treated and also overtreated.
Summary     Izhodišča. Pri otrocih z nepojasnjeno bolečino v distalnem delu uda, z oteklino, s spremembo barve in temperature kože je treba misliti tudi na kompleksni regionalni bolečinski sindrom (KRBS). Za navedeni bolečinski sindrom je značilna regionalna bolečina in senzorične motnje, povezane z nenormalno barvo kože, spremembo temperature, nenormalno sudomotoriko ali edemom. Znaki in simptomi niso v sorazmerju s sprožilnim dogodkom. Poznani sta dve obliki KRBS: tip I nastane brez okvare živca, tip II pa po okvari živca. Diagnoza je klinična. Zaključki. Pri otrocih se KRBS še vedno prezre oz. se ne diagnosticira dovolj zgodaj, zato se delajo nepotrebne preiskave in se neustrezno zdravijo.
Descriptors     REFLEX SYMPATHETIC DYSTROPHY
CHILD