Thursday, November 8, 2012

CRPS and Shingles: Two Articles in PAIN


Development of CRPS after shingles: It’s all about location - October 10, 2012 (Pain)
Although the goal of medicine is to cure disease, effective treatment of the symptoms that the patient notices requires that the clinician identify their underlying cause – namely the diagnosis. Without a diagnosis, clinicians can only palliate the symptoms and hope that the actual disease resolves on its own. The 20th century brought great advances in understanding disease pathophysiology. For instance, we learned that seemingly identical coughs can have causes as diverse as infection, cancer, heart failure, or asthma, each requiring different diagnostic and therapeutic responses....


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      published online 13 September 2012.
      Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.


      A rare case of complex regional pain syndrome II follows acute varicella zoster virus infection in the arm.


      Complex regional pain syndrome (CRPS) and postherpetic neuralgia (PHN) represent neuropathic pain syndromes that may appear with similar clinical signs and symptoms. Medical history and clinical distribution of symptoms and signs (PHN typically at the thorax; CRPS typically at the limbs) is obvious in most cases, helping to discriminate between both disorders. Here, we present a patient suffering from CRPS II following PHN of one upper extremity. This case demonstrates that both etiology and part of the body affected by a neuropathy influence the pain phenotype.


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