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#Post#: 2--------------------------------------------------
Definition, Terminology and History
DIR By: AnnaElisabetta
Date: November 25, 2016, 2:43 am
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The algodystrophy is a painful disease known also as complex
regional pain syndrome or CRPS. Its diagnosis is based on
clinical signs and symptoms like erythema, edema, functional
impairment, sensory and vasomotor disturbance. Sometimes it’s
diagnosed also for exclusion comparing it to other forms of
chronic pain.
There are similar forms of chronic pain known. It’s still
disputable, if these forms represent a distinct self-limiting
entity or an incomplete variant of CRPS. The only certainly is
that generally surgical treatment isn’t needed because these
forms are self-limited.
Algodystrophy has always been a problem for humanity. In fact,
already in 17th and 18th century literature several references
can be found and many Authors tried to describe this syndrome.
In 1864, it was presented in detail for the first time with a
description of symptoms like burning pain, swelling, skin color
and temperature change and so on.
The first term coined to described this pain syndrome was
‘causalgia’ but since then in medical history have followed
continuous references and terms to describe this syndrome:
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similar symptoms of causalgia;
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peripheral nerve injury;
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causalgia, reporting pain relief after surgical sympathectomy;
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dystrophy for this syndrome;
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Pain (IASP), after an evaluation of etiologic and
pathophysiological aspects as well as clinical characteristics,
developed the nomenclature, complex regional pain syndrome
(CRPS) etc.
Considering only the Italian scientific production, there are 13
different names for such disorders, 79 can be found in the
English literature, and more than 100 in other languages.
Nowadays the internationally term for this syndrome is Complex
Regional Pain Syndrome (CRPS), divided in type I or II.
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