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Complex Regional Pain Syndrome in an Adolescent after Minor Trauma : A case report
채혈 후 발생한 청소년기 복합부위통증증후군 - 청소년기 복합부위통증증후군

첫 페이지 보기
  • 발행기관
    대한척추통증학회 바로가기
  • 간행물
    Pain Bulletin 바로가기
  • 통권
    Vol. 3 No. 2 (2024.12)바로가기
  • 페이지
    pp.44-49
  • 저자
    Jun Ha Park, Jaekyeong Song, Dae Kyun Ryu, Woo Seog Sim, Ji Won Choi
  • 언어
    한국어(KOR)
  • URL
    https://www.earticle.net/Article/A480225

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원문정보

초록

영어
Diagnosis and treatment of complex regional pain syndromes (CRPS) continue to generate controversy among clinicians and frustration and suffering for patients. As a result, the clinical features of pediatric CRPS remain poorly understood. We report a case of CRPS in a 15- year -old girl after minor trauma. She was consulted from pediatrics with right arm pain and edema that occurred 6 months ago. After blood test for school health checkup, a bruise appeared at the puncture site, followed by swelling and tenderness. She complained of a pain with a numerical rating scale (0 = no pain, 10 = worst pain imaginable) 5 when rest and 7 in motion. The MR angiography and ultrasound were performed, revealed swelling of subcutaneous layer of upper arm. She showed a temporary response to steroid therapy under suspicion of cellulitis or panniculitis, however, the lesion recurred. After a multidisciplinary evaluation, the possibility of other diagnosis was ruled out. CRPS type 1 was diagnosed. She received intermittent steroid therapy, and exercise for range of motion. Medications were not effective, except for combination of codeine, ibuprofen and acetaminophen. We will register her for bio-data genome testing and plan sympathetic block or intravenous infusion. CRPS in children and adolescents is still underdiagnosed. The management by an experienced multidisciplinary team is recommended.

목차

Abstract
증례보고
고찰
참고문헌

키워드

Adolescent Complex regional pain syndrome Diagnosis multidisciplinary approach.

저자

  • Jun Ha Park [ 박준하 | Department of Anesthesiology and Pain medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Republic of Korea ]
  • Jaekyeong Song [ 송재경 | Department of Anesthesiology and Pain medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Republic of Korea ]
  • Dae Kyun Ryu [ 류대균 | Department of Anesthesiology and Pain medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Republic of Korea ]
  • Woo Seog Sim [ 심우석 | Department of Anesthesiology and Pain medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Republic of Korea ]
  • Ji Won Choi [ 최지원 | Department of Anesthesiology and Pain medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Republic of Korea ] Corresponding Author

참고문헌

자료제공 : 네이버학술정보

간행물 정보

발행기관

  • 발행기관명
    대한척추통증학회 [The Korean Spinal Pain Society]
  • 설립연도
    2016
  • 분야
    의약학>정형외과학
  • 소개
    본회는 대한척추통증학회 (The Korean Spinal Pain Society : KSPS)라고 칭한다. 본회의 목적은 척추통증의학의 발전과 회원 상호간의 친목을 도모하는데 있다.

간행물

  • 간행물명
    Pain Bulletin
  • 간기
    반년간
  • pISSN
    2951-3782
  • 수록기간
    2022~2025
  • 십진분류
    KDC 514 DDC 617

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