RESUMO
A 5 year old female developed features of complex regional pain syndrome (CRPS) i.e excessive pain to touch, decreased sweating and edema of left ankle 2 years after fracture of left tibia. Gum bleeding, petechiae and pseudoparalysis and suggestive radiograph characterized scurvy. Hyperesthesia improved and child walked with support following administration of vitamin C.
Assuntos
Ácido Ascórbico/uso terapêutico , Pré-Escolar , Feminino , Humanos , Articulação do Joelho/diagnóstico por imagem , Distrofia Simpática Reflexa/complicações , Distrofia Simpática Reflexa/diagnóstico , Escorbuto/complicações , Escorbuto/diagnóstico , Escorbuto/tratamento farmacológico , Vitaminas/uso terapêuticoRESUMO
We analysed 60 cases of algodystrophy admitted in the rheumatology department of the university hospital of Monastir. We used a univariate analysis to search the factors associated with the disease evolution. Our patients were 40 males and 20 females. The mean age was 51.6 years [16-81]. The traumatisation was the dominant cause [46.7% of the cases]. Calcitonines were used in 70% of the cases. Functional results at one year were satisfying and not satisfying in 62.5% and 37.5% of the cases, respectively. The primitive algodystrophy was associated with a satisfying result. Sequella were observed in 10.5% of the cases. The primitive algodystrophy was associated with a satisfying result. Algodystrophy remain a benign disease and the best treatment remains the preventive one mainly in traumatic and orthopaedic circumstances
Assuntos
Humanos , Masculino , Feminino , Reumatologia , Distrofia Simpática Reflexa/diagnóstico , Distrofia Simpática Reflexa/complicações , Imageamento por Ressonância MagnéticaRESUMO
Major complications of diabetes mellitus--classified as microvascular and macrovascular, are more or less well understood. But musculoskeletal syndromes of diabetes are not rare and they are a major cause of morbidity. Musculoskeletal pain is a universal experience. Soft tissue rheumatism such as rotator cuff lesion of the shoulder, carpal tunnel syndrome and stenosing tenosynovitis are more common in subjects with diabetes mellitus. Articular musculoskeletal disorders also occur more frequently in diabetes mellitus. Careful history and physical examination are essential in reaching a specific diagnosis. Unnecessary investigations are expensive, may cause anxiety to the patients and if taken out of clinical context, lead to over-diagnosis and over-treatment. This article briefly covers the association between musculoskeletal disorders and diabetes mellitus.