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Vol. 6. Issue 6.
Pages 285-291 (November - December 2010)
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Vol. 6. Issue 6.
Pages 285-291 (November - December 2010)
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Clinical characteristics of reflex sympathetic dystrophy in Aragon (Spain). A prospective study of 171 patients
Estudio descriptivo y prospectivo de 171 pacientes con distrofia simpático refleja en Aragón (España)
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Carlos Bruscas Izua,
Corresponding author
carlosbruscas@hotmail.com

Corresponding author.
, Chesús Beltrán Audera,b, Fernando Jiménez Zorzob
a Servicio de Reumatología, Hospital Militar de la Defensa, Zaragoza, Spain
b Sección de Reumatología, Hospital Universitario Miguel Servet, Zaragoza, Spain
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Abstract

We followed a total of 171 patients diagnosed with Reflex Sympathetic Dystrophy (RSD). This enigmatic condition normally has a secondary origin, being trauma the unleashing cause in most cases. Psychological predisposition plays a major role in developing the clinical state, which affects lower extremities more frequently. In this series, patients were first seen during the acute “warm” phase and the final outcome was generally good after a period of treatment with non-steroidal anti-inflammatory drugs (NSAID), calcitonin and physical therapy. However, a comprehensive review of the literature revealed the heterogeneity of this condition.

Keywords:
Reflex sympathetic dystrophy
Algodystrophy
Prospective study
Resumen

Hemos estudiado una poblacion de 171 pacientes diagnosticados de distrofia simpatico refleja (DSR). En esta poblacion la DSR tiene, en gran medida, un origen secundario, siendo el traumatismo el mas frecuente. El terreno predisponente mas habitual es el psicologico. La DSR predomina en las extremidades inferiores. La mayor parte de las DSR han llegado en fase caliente. En general, la evolucion ha sido satisfactoria con AINES, calcitonina y rehabilitacion. En suma, nuestro estudio pone de manifiesto la gran heterogeneidad de este sindrome.

Palabras clave:
Distrofia simpático refleja
Algodistrofia
Estudio prospectivo
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