Upper limb reflex sympathetic dystrophy associated with occult malignancy.
Arch Phys Med Rehabil
; 77(7): 726-8, 1996 Jul.
Article
em En
| MEDLINE
| ID: mdl-8670004
ABSTRACT
Reflex sympathetic dystrophy, characterized by pain, swelling, vasomotor instability, and trophic changes in an extremity, has been infrequently described in patients with occult malignancy. Two cases of reflex sympathetic dystrophy associated with local tumor involvement are reported. Both patients had a history of cancer in clinical remission. Despite aggressive physical therapy measures, the patients' symptoms persisted. Workup of the first patient found an apical paravertebral mass in the lung; biopsy revealed recurrent breast carcinoma. In the second case, workup found an axillary mass contiguous with the lower brachial plexus. Biopsy revealed lymphoma, a second primary malignancy. In both cases, medical treatment of the tumor was instituted, with consequent improvement of hand and shoulder function. Both patients required prolonged hospitalization and multiple procedures that might have been avoided if malignancy had been suspected. Spontaneous development of reflex sympathetic dystrophy in patients with a history of cancer should alert the physician to the possibility of occult malignancy.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Distrofia Simpática Reflexa
/
Linfoma não Hodgkin
/
Neoplasias da Mama
/
Neoplasias da Glândula Tireoide
/
Adenocarcinoma
/
Segunda Neoplasia Primária
/
Neoplasias Pulmonares
Tipo de estudo:
Risk_factors_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
Idioma:
En
Revista:
Arch Phys Med Rehabil
Ano de publicação:
1996
Tipo de documento:
Article
País de afiliação:
Estados Unidos