Abstract

BULLER VIQUEIRA, Eva; LUZURIAGA RIVERA, Celia  and  JIMENEZ FERNANDEZ, José Antonio. Reflex sympathetic dystrophy: genetic predisposition?. Rev Clin Med Fam [online]. 2016, vol.9, n.3, pp.237-242. ISSN 2386-8201.

Reflex sympathetic dystrophy (RSD) is a complex pathology characterized by intense and diffuse pain. There are few studies on this syndrome and it is difficult to define. The present study focuses on two sisters diagnosed with RSD. In both cases, symptoms appeared after a trauma, in the first case after a sprained ankle and in the second after a Colles' fracture. Both evolved in the same way: severe and prolonged pain, functional impotence, trophic changes and deformity. Both were treated with analgesic, corticoid and neuroleptic medication without signs of improvement. After additional tests, they were finally diagnosed with RSD. They are currently undergoing experimental therapy with little improvement. This case may be considered useful to help family doctors take this syndrome into account after a trauma with little lessening of pain. In regards to genetics, there are no great advances, but family cases may help improve diagnosis.

Keywords : Reflex sympathetic dystrophy; Rheumatology; Pain; Atrophy; Causality; Genetics.

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