Document Detail

Distribution of signs and symptoms of Complex Regional Pain Syndrome type I in patients meeting the diagnostic criteria of the International Association for the Study of Pain.
MedLine Citation:
PMID:  21334934     Owner:  NLM     Status:  Publisher    
The aim of the present study was to describe the occurrence of signs and symptoms in CRPS I patients meeting the IASP (Orlando) criteria, assess the occurrence of signs and symptoms in relation to disease duration and compare these to historical data based on a different diagnostic criteria set. Six hundred and ninety-two ambulatory patients meeting the IASP criteria for CRPS I referred to the outpatient clinics of five participating centers were included in this cross-sectional study. Characteristics were recorded in a standardized fashion and categorized according to the factor structure proposed by Bruehl/Harden. Subgroups were classified according to the duration of complaints and compared to historical data as described by Veldman et al. The Chi-square test corrected for multiple comparisons was used for statistical analysis. The prevalence of sensory signs was higher in patients with longer disease duration, especially for the allodynia's and hyperalgesia (all p<0.001). Signs in vasomotor (color difference; p=0.0007) and sudomotor (edema; p<0.0001) subgroups were less frequently present in patients with longer disease duration (i.e. >6months). Prevalences of signs in the motor subgroup were all higher (p<0.0001) in patients with longer disease duration, except for limited range of motion. Occurrence of signs was significantly lower (<0.001) than those reported by Veldman et al., except for hyperesthesia and dystonia. Occurrence rates may vary at different time points after onset of CRPS, which may be of influence for diagnosing patients with novel derived diagnostic criteria. We argue for a mechanism based description of CRPS I based on one set of uniform generally accepted diagnostic criteria in future studies.
Remco D H de Boer; Johan Marinus; Jacobus J van Hilten; Frank J Huygen; Frank van Eijs; Maarten van Kleef; Martin C R Bauer; Miriam van Gestel; Wouter W A Zuurmond; Roberto S G M Perez
Related Documents :
16187464 - Inadequate follow-up controller medications among patients with asthma who visit the em...
11834644 - Oropharyngeal deglutition in stable copd.
20624254 - Urokinase-type plasminogen activator system and human cationic antimicrobial protein 18...
3622024 - Total respiratory resistance and reactance in patients with upper airway obstruction.
20306214 - Reproducibility of the bath ankylosing spondylitis indices of disease activity (basdai)...
8647154 - Urological abnormalities in 1,328 patients with nocturnal enuresis.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-18
Journal Detail:
Title:  European journal of pain (London, England)     Volume:  -     ISSN:  1532-2149     ISO Abbreviation:  -     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-2-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9801774     Medline TA:  Eur J Pain     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 European Federation of International Association for the Study of Pain Chapters. Published by Elsevier Ltd. All rights reserved.
Department of Anesthesiology, VU University Medical Center, Amsterdam, The Netherlands; Trauma Related Neuronal Dysfunction (TREND), Leiden, The Netherlands; The EMGO Institute for Health and Care Research (EMGO+) Amsterdam, The Netherlands.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  The relation between small nerve fibre function, age, disease severity and pain in Fabry disease.
Next Document:  QSAR study of natural estrogen-like isoflavonoids and diphenolics from Thai medicinal plants.