JAMES A. EVANS, M.D., F.A.C.P.
Reflex sympathetic dystrophy is usually referred to as causalgia because of its chief symptom—an agonizing burning pain. The former term is preferable, however, because in many patients with reflex sympathetic dystrophy the distinguishing features are not pain but other manifestations of sympathetic stimulation, namely, rubor, pallor, or both, swelling, sweating and often mottled or cystic atrophy of the bone. Atrophic changes in the skin and muscles may be prominent. The characteristic feature of sympathetic pain is its deep, burning nature, felt diffusely through the part affected, often occurring in acute exacerbations on use of the limb or on pressure over
EVANS JA. REFLEX SYMPATHETIC DYSTROPHY; REPORT ON 57 CASES1. Ann Intern Med. ;26:417–426. doi: 10.7326/0003-4819-26-3-417
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Published: Ann Intern Med. 1947;26(3):417-426.
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