Complex regional pain syndrome associated with herpes zoster: a case report: herpes zoster ile iliskili kompleks bolgesel agri sendromu: bir olgu sunumu

Complex regional pain syndrome associated with herpes zoster: a case report: herpes zoster ile iliskili kompleks bolgesel agri sendromu: bir olgu sunumu

Complex regional pain syndrome (CRPS) is a clinical syndrome characterized by pain, tenderness, dystrophic skin changes, swelling, stiffness in joints, and vascular instability. The pathogenesis of CRPS is not completely understood, and no single hypothesis proposed to date has explained all the fea...

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Bibliographic Details
Published in:Turkish journal of rheumatology Vol. 26; no. 3; p. 254
Main Authors: Oztop, Pinar, Saracgil Cosar, Sacide Nur, Yemisci, Oya Umit, Varol Ure, Rabia Sedef
Format: Journal Article
Language:English
Published: Istanbul Turkish League Against Rheumatism 01-09-2011
Prof Sebnem Ataman, President Turkish League Against Rheumatism
Subjects:
Care and treatment
Diagnosis
Emissions (Pollution)
Health aspects
Herpes
Herpesvirus diseases
Risk factors
Shingles (Disease)
Skin
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Summary:Complex regional pain syndrome (CRPS) is a clinical syndrome characterized by pain, tenderness, dystrophic skin changes, swelling, stiffness in joints, and vascular instability. The pathogenesis of CRPS is not completely understood, and no single hypothesis proposed to date has explained all the features of this disorder. However, several predisposing factors have been identified. This report describes an unusual cause of CRPS. Although CRPS following herpes zoster is clinically well recognized, only a few documented cases have been reported to date. Here, we present a case of 64-year-old woman with characteristic signs and symptoms of CRPS in the right hand that appeared four weeks after she had a typical herpes zoster infection involving the right C7-C8 dermatomes. Early diagnosis and treatment with medical and physical therapy achieved a progressive improvement of the disease within a brief period of time. In this report, we aim to draw attention to CRPS which can occur as a result of very different conditions. Recognition and knowledge of CRPS are important since a delay in proper diagnosis and treatment may have a negative effect on a patient's prognosis. Key words: Complex regional pain syndrome; herpes zoster; pain. Kompleks bolgesel agri sendromu (KBAS) agri, hassasiyet, distrofik cilt degisiklikleri, sislik, eklemlerde sertlik ve vaskuler instabilite ile karakterize klinik bir sendromdur. Kompleks bolgesel agri sendromunun patogenezi tam anlasilamamis ve bugune kadar hicbir hipotez tek basina bu bozuklugun tum ozelliklerini aciklamayi basaramamistir. Bununla birlikte cesitli predispozan faktorler belirlenmistir. Bu yazida KBAS'nin olagan disi bir nedeni tanimlanmistir. Herpes zoster sonrasi KBAS klinik olarak iyi taninmasina ragmen, gunumuze kadar sadece birkac belgelenmis olgu bildirilmistir. Burada, sag C7-C8 dermatomlarinda tutulumla seyreden tipik bir herpes zoster infeksiyonundan dort hafta sonra sag elinde KBAS'nin karakteristik belirti ve bulgulari gorulen 64 yasinda kadin bir olgu sunuldu. Erken tani ve medikal ve fizik tedavi ile kisa surede hastalikta ilerleyici bir iyilesme elde edildi. Bu yazida, cok farkli durumlarin sonucunda ortaya cikabilecegi icin KBAS'ye dikkat cekmeyi amacladik. Dogru tani ve tedavide gecikme hastanin prognozunu olumsuz etkileyebileceginden KBAS'nin taninmasi ve bilinmesi onemlidir. Anahtar sozcukler: Kompleks bolgesel agri sendromu; herpes zoster; agri.
ISSN:1309-0291
1309-0283
DOI:10.5152/tjr.2011.040