ABSTRACT
La algodistrofia simpática refleja es un síndrome mal definido en el que el paciente desarrolla un dolor desproporcionado a la causa. Se incluye dentro de los síndromes dolorosos regionales complejos. Los síntomas comienzan ante un traumatismo previo, en ocasiones trivial, y consisten en dolor urente, edema, cambios en el color de la piel, alteraciones en la vascularización, cambios de temperatura, hiperhidrosis y alteraciones cutáneas que consisten principalmente en cambios atróficos. Se han descrito otras manifestaciones cutáneas menos frecuentes en pacientes con este síndrome consistentes en pápulas, ampollas, lesiones inflamatorias e hiperpigmentación de aspecto reticulado. Presentamos el caso de un paciente con algodistrofia simpática refleja que tenía úlceras superficiales en la extremidad afectada que parecía una dermatitis artefacta
Reflex sympathetic dystrophy or algodystrophy is a poorly defined syndrome in which the patient develops pain disproportionate to the cause. It is included among the complex regional pain syndromes. The symptoms are triggered by some type of trauma, at times trivial, and consist of burning pain, edema, changes in skin color, alterations in vascularization, temperature changes, hyperhidrosis and skin disorders, which primarily consist of atrophic changes. Other less frequent cutaneous manifestations have been described in patients with this syndrome. These include papules, blisters, inflammatory lesions and reticulated hyperpigmentation. We discuss the case of a patient with reflex sympathetic dystrophy who presented with superficial ulcers on the affected limb, which mimicked dermatitis artefacta
Subject(s)
Male , Adult , Humans , Reflex Sympathetic Dystrophy/diagnosis , Reflex Sympathetic Dystrophy/therapy , Hyperhidrosis/complications , Edema/complications , Edema/diagnosis , Cyanosis/complications , Leg Ulcer/diagnosis , Leg Ulcer/therapy , Reflex Sympathetic Dystrophy/complications , Skin Diseases/complications , Paresis/complications , Paresis/diagnosis , Skin/injuries , Skin/pathology , Skin Ulcer/complicationsABSTRACT
El síndrome de Buschke-Ollendorff es un trastorno de herencia autosómica dominante que cursa clínicamente con nevos elásticos y osteopoiquilia. Histológicamente la mayoría de los casos presentan en las lesiones cutáneas una cantidad normal de colágeno y aumento de fibras elásticas, aunque se han descrito formas abortivas con afectación cutánea, con disminución de fibras elásticas y ausencia de alteraciones óseas. Se describe el caso de una mujer de 41 años con criterios de síndrome de Buschke-Ollendorff y el de su hija de 2 años que podría presentar una forma de Buschke-Ollendorff abortiva
Buschke-Ollendorff syndrome is an autosomal dominant disorder whose clinical course includes elastic nevi and osteopoikilosis. Histologically, most cases present with a normal amount of collagen in the skin lesions and an increase in elastic fibers, although abortive forms with skin involvement have been described, with a decrease in elastic fibers and an absence of bone alterations. We describe the case of a 41-year-old woman with Buschke-Ollendorff syndrome criteria, and that of her 2-year-old daughter who might present an abortive form of Buschke-Ollendorff
Subject(s)
Female , Adult , Child , Humans , Nevus/classification , Nevus/diagnosis , Cataract/economics , Cataract/pathology , Keloid/complications , Keloid/diagnosis , Keratoderma, Palmoplantar/complications , Keratoderma, Palmoplantar/diagnosis , Biopsy/methods , BiopsyABSTRACT
Reflex sympathetic dystrophy or algodystrophy is a poorly defined syndrome in which the patient develops pain disproportionate to the cause. It is included among the complex regional pain syndromes. The symptoms are triggered by some type of trauma, at times trivial, and consist of burning pain, edema, changes in skin color, alterations in vascularization, temperature changes, hyperhidrosis and skin disorders, which primarily consist of atrophic changes. Other less frequent cutaneous manifestations have been described in patients with this syndrome. These include papules, blisters, inflammatory lesions and reticulated hyperpigmentation. We discuss the case of a patient with reflex sympathetic dystrophy who presented with superficial ulcers on the affected limb, which mimicked dermatitis artefacta.
Subject(s)
Reflex Sympathetic Dystrophy/complications , Skin Diseases/etiology , Adult , Humans , Male , Skin Diseases/pathologyABSTRACT
Buschke-Ollendorff syndrome is an autosomal dominant disorder whose clinical course includes elastic nevi and osteopoikilosis. Histologically, most cases present with a normal amount of collagen in the skin lesions and an increase in elastic fibers, although abortive forms with skin involvement have been described, with a decrease in elastic fibers and an absence of bone alterations. We describe the case of a 41-year-old woman with Buschke-Ollendorff syndrome criteria, and that of her 2-year-old daughter who might present an abortive form of Buschke-Ollendorff.
