Walter L. Olson Jr., MD
Silas Weir Mitchell (1) first described the exquisitely painful disorder to which he later ascribed the name causalgia (2). Many other labels, including the reflex sympathetic dystrophy syndrome (3), have been used, each emphasizing a different feature of the disorder. A previous article on penile reflex sympathetic dystrophy (4) is supported by this case report. This disease should be diagnosed promptly to prevent unnecessary progression.
A 65-year-old, right-handed, white man had colonic adenocarcinoma metastatic to the pelvis treated by primary resection and radiation therapy with both chemotherapy and radiation therapy to metastatic implants. Six months before consultation, he
Olson WL. Perineal Reflex Sympathetic Dystrophy Treated with Bilateral Lumbar Sympathectomy. Ann Intern Med. ;113:633–634. doi: 10.7326/0003-4819-113-8-633
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Published: Ann Intern Med. 1990;113(8):633-634.
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