ABSTRACT
La distrofia simpático refleja (DSR) puede estar relacionada con diferentes factores desencadenantes o predisponentes. No obstante, en la literatura médica no hay muchas publicaciones referentes a un terreno genético o familiar en la DSR. Por ello, presentamos el caso de 2 hermanos con similar HLA y con DSR de extremidades inferiores, politópica y recurrente (AU)
Subject(s)
Female , Middle Aged , Male , Humans , Recurrence , Lower Extremity , Reflex Sympathetic Dystrophy , Genetic Predisposition to Disease , HLA Antigens , Bone DiseasesSubject(s)
Foot Diseases/diagnosis , Reflex Sympathetic Dystrophy/diagnosis , Toes , Humans , Male , Middle AgedABSTRACT
No disponible
Subject(s)
Middle Aged , Male , Humans , Toes , Reflex Sympathetic Dystrophy , Foot DiseasesABSTRACT
Reflex sympathetic dystrophy syndrome is a peculiar rheumatological pathology whose diagnosis at times is evident, but other times it is complex. This difficulty compels us to have a good knowledge of the syndrome and to take it into account when faced with any rheumatological differential diagnostic. In this work we revise the major aspects of diagnostic.
Subject(s)
Reflex Sympathetic Dystrophy/diagnosis , Adolescent , Adrenal Cortex Hormones/administration & dosage , Adult , Aged , Analgesics/administration & dosage , Anti-Inflammatory Agents, Non-Steroidal/administration & dosage , Antifungal Agents/administration & dosage , Calcitonin/administration & dosage , Child , Diagnosis, Differential , Griseofulvin/administration & dosage , Humans , Middle Aged , Prognosis , Reflex Sympathetic Dystrophy/drug therapy , Time FactorsABSTRACT
La distrofia simpático refleja representa una patología reumatológica peculiar, cuyo diagnóstico, en ocasiones, es evidente, pero, otras veces, resulta complejo. Esta complejidad obliga a conocerla bien y a tenerla en consideración ante todo diagnóstico diferencial reumatológico. En este sentido, en este trabajo hacemos un recorrido sobre los aspectos diagnósticos más representativos de dicha patología (AU)
Subject(s)
Adolescent , Adult , Aged , Middle Aged , Child , Humans , Adrenal Cortex Hormones/administration & dosage , Analgesics/administration & dosage , Anti-Inflammatory Agents, Non-Steroidal/administration & dosage , Antifungal Agents/administration & dosage , Calcitonin/administration & dosage , Diagnosis, Differential , Griseofulvin/administration & dosage , Prognosis , Reflex Sympathetic Dystrophy , Time Factors , Reflex Sympathetic Dystrophy/diagnosis , Reflex Sympathetic Dystrophy/drug therapyABSTRACT
The elbow is a location where algodystrophy is rarely established. When algodystrophy affects the elbow it usually does it in a secondary way, being part of a shoulder-hand syndrome. However the original affectation of the elbow, outside this context, is even more exceptional. In this work we present two cases of algodystrophy originally found in the elbow and we revise the characteristics of this location.
Subject(s)
Elbow , Reflex Sympathetic Dystrophy , Adult , Female , Humans , Middle AgedABSTRACT
Diabetic cheiroarthropathy is a periarticular pathology that concerns diabetes mellitus, especially the insulin-dependent and long-term variety. Normally it is asymptomatic and consists of a pain-free limited extension of the metacarpophalangeal and/or proximal interphalangeal joints, with a spontaneous posture of slight flexion in the fingers. It can be accompanied by other rheumatological pathologies usually associated with diabetes.
Subject(s)
Arthritis/etiology , Diabetes Complications , Hand Deformities, Acquired/etiology , Metacarpophalangeal Joint/pathology , Arthritis/pathology , Arthritis/therapy , Child , Diabetes Mellitus/drug therapy , Diabetes Mellitus, Type 1/complications , Disease Susceptibility , Female , Hand Deformities, Acquired/therapy , Humans , MaleABSTRACT
We applied to a group of 44 patients, clinically affected by algodystrophy, a protocol of vascular explorations (Doppler, capillaroscopy, basal plethysmography, reactive hyperemia test and measurements of the oxygen transcutaneous pressure) in order to analyze their contribution to the detection of such disease, concluding that Doppler, capillaroscopy and plethysmography do not contribute with quantifiable results. On the contrary, the reactive hyperemia test and the measurements of the oxygen transcutaneous pressure showed up as explorations able to quantify the degree of microcirculatory disorder in the algodystrophy and to allow its evolutive follow-up.
Subject(s)
Blood Vessels/physiopathology , Reflex Sympathetic Dystrophy/diagnosis , Adult , Aged , Arm/blood supply , Blood Gas Monitoring, Transcutaneous , Blood Vessels/diagnostic imaging , Capillaries/physiopathology , Female , Humans , Hyperemia/physiopathology , Leg/blood supply , Male , Middle Aged , Plethysmography , Reflex Sympathetic Dystrophy/blood , Reflex Sympathetic Dystrophy/physiopathology , Rheology , UltrasonographyABSTRACT
Biphotonic absorptiometry has begun to demonstrate its usefulness in the field of osteoporosis. In algodystrophy, the radiology and the degree of isotopic fixation suggest a bone disorder, although both techniques are unable to objectively quantify it. Biphotonic absorption is an scanning technique which allows the quantification of bone demineralization in the segment affected by algodystrophy and its evolutive follow-up.