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 |