Recurrent bilateral shoulder hand syndrome induced by phenobarbital

Algodystrophy syndrome is characterized by pain, vasomotor disorders and/or trophic skin changes, without laboratory signs of inflammation. Among the etiological factors of this syndrome (trauma, cerebrovascular accident, diabetes mellitus...), iatrogenic ones including phenobarbital can be observed...

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Bibliographic Details
Published in:	Tunisie Medicale Vol. 81; no. 9; p. 743
Main Authors:	Hamza, S Imène, Hassen, Zohra, Loueslati, M Hédi, Toghourti, M Néjib, Belkahia, Chelbi, Hamza, Mohsen
Format:	Journal Article
Language:	French
Published:	Tunisia 01-09-2003
Subjects:	Aged Anticonvulsants - adverse effects Female Humans Phenobarbital - adverse effects Recurrence Reflex Sympathetic Dystrophy - chemically induced
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Summary:	Algodystrophy syndrome is characterized by pain, vasomotor disorders and/or trophic skin changes, without laboratory signs of inflammation. Among the etiological factors of this syndrome (trauma, cerebrovascular accident, diabetes mellitus...), iatrogenic ones including phenobarbital can be observed. We report a case of phenobarbital induced recurrent bilateral shoulder-hand syndrome in a 67 years old women with hypertension, diabetes, and history of epileptic crisis following ischemic cerebrovascular accidents. The patient recovered after barbiturate withdrawal and treatment with calcitonin. It's necessary to diagnose promptly shoulder-hand syndrome of iatrogenic cause in order to withdraw definitively the responsible drug, to start an effective therapy, at this stage, on pain and bone demineralization and to prevent severe sequels.
ISSN:	0041-4131