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Atypical presentation of complex regional pain syndrome: neuropathic itching - A case report -

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Abstract
Background: In some patients with neuropathic pain (NP), such as complex regional pain syndrome (CRPS), itching rather than pain is the main symptom making diagnosis and treatment difficult.Case: We report a case of a 23-year-old man with a history of hypoxic brain damage who presented with pruritus of the left foot and ankle. His left foot was fractured, and he underwent surgery 6 months previously. After the operation and cast application, he developed uncontrolled pruritus, swelling, sweating, and flushing of the left foot skin with limping. On examination, he showed well-known features of CRPS without pain. He was diagnosed with an atypical CRPS with neuropathic itching (NI). With treatment modalities used for NP and CRPS, his pruritus subsided gradually, and the his ankle mobility improved.Conclusions: Unexplained itching can be the main symptom in some CRPS patients. Treatment according to NP can improve symptoms of NI in CRPS patients.
Author(s)
김영도문주한윤신혜정원영조우종최성수
Issued Date
2021
Type
Article
Keyword
Complex regional pain syndromeFractureItchNeuropathic itchNeuropathic pain
DOI
10.17085/apm.21009
URI
https://oak.ulsan.ac.kr/handle/2021.oak/7294
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_nrf_kci_oai_kci_go_kr_ARTI_9874290&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Atypical%20presentation%20of%20complex%20regional%20pain%20syndrome:%20neuropathic%20itching%20-%20A%20case%20report%20-&offset=0&pcAvailability=true
Publisher
Anesthesia and Pain Medicine
Location
대한민국
Language
영어
ISSN
1975-5171
Citation Volume
16
Citation Number
4
Citation Start Page
377
Citation End Page
381
Appears in Collections:
Medicine > Medicine
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