Herpes Zoster ile İlişkili Kompleks Bölgesel Ağrı Sendromu: Bir Olgu Sunumu

Objective & Hypothesis:Complex regional pain syndrome (CRPS) is a clinical syndrome characterized by pain, tenderness, dystrophic skin changes, swelling, stiffness in joints, and vascular instability.

📊

Key Findings & Data:Here, we present a case of 64-year-old woman with characteristic signs and symptoms of CRPS in the right hand that appeared four weeks after she had a typical herpes zoster infection involving the right C7-C8 dermatomes.

💡

Conclusion & Impact:Recognition and knowledge of CRPS are important since a delay in proper diagnosis and treatment may have a negative effect on a patient's prognosis

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Complex regional pain syndrome (CRPS) is a clinical syndrome characterized by pain, tenderness, dystrophic skin changes, swelling, stiffness in joints, and vascular instability. The pathogenesis of CRPS is not completely understood, and no single hypothesis proposed to date has explained all the features of this disorder. However, several predisposing factors have been identified. This report describes an unusual cause of CRPS. Although CRPS following herpes zoster is clinically well recognized, only a few documented cases have been reported to date. Here, we present a case of 64-year-old woman with characteristic signs and symptoms of CRPS in the right hand that appeared four weeks after she had a typical herpes zoster infection involving the right C7-C8 dermatomes. Early diagnosis and treatment with medical and physical therapy achieved a progressive improvement of the disease within a brief period of time. In this report, we aim to draw attention to CRPS which can occur as a result of very different conditions. Recognition and knowledge of CRPS are important since a delay in proper diagnosis and treatment may have a negative effect on a patient's prognosis

Özet

Kompleks bölgesel ağrı sendromu (KBAS) ağrı, hassasiyet, distrofik cilt değişiklikleri, şişlik, eklemlerde sertlik ve vasküler instabilite ile karakterize klinik bir sendromdur. Kompleks bölgesel ağrı sendromunun patogenezi tam anlaşılamamış ve bugüne kadar hiçbir hipotez tek başına bu bozukluğun tüm özelliklerini açıklamayı başaramamıştır. Bununla birlikte çeşitli predispozan faktörler belirlenmiştir. Bu yazıda KBAS'nin olağan dışı bir nedeni tanımlanmıştır. Herpes zoster sonrası KBAS klinik olarak iyi tanınmasına rağmen, günümüze kadar sadece birkaç belgelenmiş olgu bildirilmiştir. Burada, sağ C7-C8 dermatomlarında tutulumla seyreden tipik bir herpes zoster infeksiyonundan dört hafta sonra sağ elinde KBAS'nin karakteristik belirti ve bulguları görülen 64 yaşında kadın bir olgu sunuldu. Erken tanı ve medikal ve fizik tedavi ile kısa sürede hastalıkta ilerleyici bir iyileşme elde edildi. Bu yazıda, çok farklı durumların sonucunda ortaya çıkabileceği için KBAS'ye dikkat çekmeyi amaçladık. Doğru tanı ve tedavide gecikme hastanın prognozunu olumsuz etkileyebileceğinden KBAS'nin tanınması ve bilinmesi önemlidir

🔖

Cite This Article

ÖZTOP, P., SARAÇGİL, S. N. C., YEMİŞCİ, O. Ü., VAROL, R. S. Ü. (2011). Herpes Zoster ile İlişkili Kompleks Bölgesel Ağrı Sendromu: Bir Olgu Sunumu. Turkish Journal of Rheumatology(.)Archives of Rheumatology, Cilt: 26 - Sayı: 3, 254–257. https://ajindex.com/articles/376026

📄 Full Text PDF Viewer

Open in New Tab ↗

↗New Tab

📄

PDF görüntüleyici hazırlanıyor...

References (7)

Baron R, Levine JD, Fields HL. Causalgia and reflex sympathetic dystrophy: does the sympathetic nervous system contribute to the generation of pain? Muscle Nerve 1999;22:678-95. Janig W. CRPS I and CRPS II: a strategic view. In: Harden RN, Baron R, Janig W, editors. Complex regional pain syndrome. Vol. 22. Seatle, WA: IASP Pres; 2001. p. 3-15.
Mondelli M, Romano C, Rossi S, Cioni R. Herpes zoster of the head and limbs: electroneuromyographic and clinical findings in 158 consecutive cases. Arch Phys Med Rehabil 2002;83:1215-21.
Watson CPN, Oaklander AL, Deck JH. The neuropathology of herpes zoster with particular reference to postherpetic neuralgia and its pathogenesis. In: Watson CPN, Gershon AA, editors. Herpes zoster and postherpetic neuralgia. 2nd revised and enlarged edition, Vol. 11. Amsterdam: Elsevier; 2001. p. 167-82.
Dworkin RH, Schmader KE. The epidemiology and natural history of herpes zoster and postherpetic neuralgia. In: Watson CPN, Gershon AA, editors. Herpes zoster and postherpetic neuralgia, 2nd revised and enlarged edition, Vol. 11. Amsterdam: Elsevier; 2001. p. 39-64. Sudeck P. Über die akute (reflektorische Knochenatrophie nach Entzündungen und Verletzungen an den Extremitäten und ihre klinishen Erscheinungen). Fortschr Geb Roentgenstr 1901;5:277-93.
Berry JD, Rowbotham MC, Petersen KL. Complex regional pain syndrome-like symptoms during herpes zoster. Pain 2004;110:e1-12. Wood MJ. Current experience with antiviral therapy for acute herpes zoster. Ann Neurol 1994;35 Suppl:S65-8. Chester MH. Segmental reflex sympathetic dystrophy involving the thumb: a rare complication of a varicella zoster infection. Anesthesiology 1992;77:1223-5.
Querol I, Cisneros T. Reflex sympathetic dystrophy syndrome following herpes zoster. Cutis 2001;68:179-82. Kozin F. Reflex sympathetic dystrophy syndrome: a review. Clin Exp Rheumatol 1992;10:401-9. Roberts WJ. A hypothesis on the physiological basis for causalgia and related pains. Pain 1986;24:297-311. Ecker A. Pathogenesis of reflex sympathetic dystrophy. Arch Neurol 1989;46:482. Merskey H, Bogduk N. Classification of chronic pain; description of chronic pain syndromes and definition of pain terms. 2nd ed. Seattle, Washington: IASP Press; 1994.
Bruehl S, Harden RN, Galer BS, Saltz S, Bertram M, Backonja M, et al. External validation of IASP diagnostic criteria for Complex Regional Pain Syndrome and proposed research diagnostic criteria. Internati