REFLEX SYMPATHETIC DYSTROPHY; REPORT ON 57 CASES
Authors: J A EVANS
Journal: Annals of Internal Medicine (1947)

Article1 March 1947REFLEX SYMPATHETIC DYSTROPHY; REPORT ON 57 CASESJAMES A. EVANS, M.D., F.A.C.P.JAMES A. EVANS, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-26-3-417 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptReflex 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...Bibliography1. HOMANS J: Minor causalgia: A hyperesthetic neurovascular syndrome, New England Jr. Med., 1940, ccxxii, 870-874. CrossrefGoogle Scholar2. LERICHEPOLICARD RA: Physiologie pathologique, chirurgicale inflammations, effets des traumatismes, réparation des plaies, greffes, maladies des os, des articulations, des vaisseaux et des nerfs, 1930, Masson et Cie, Paris, 212 pp. Google Scholar3. LIVINGSTON WK: Pain mechanisms: A physiological interpretation of causalgia and its related states, 1943, The Macmillan Co., New York, 254 pp. Google Scholar4. LORENTO DE NO R: Analysis of the activity of the chains of internuncial neurons, Jr. Neurophysiol., 1938, i, 207-244. CrossrefGoogle Scholar5. MITCHELLMOREHOUSEKEEN SWGRWW: Gunshot wounds and other injuries of nerves, 1864, J. B. Lippincott Co., Philadelphia, 164 pp. Google Scholar6. SUDECK P: Ueber die akute entzündliche Knochenatrophie, Arch. f. klin. Chir., 1900, lxii, 147-156. Google Scholar7. PORTERTAYLOR ELAN: Facilitation of flexion reflex in relation to pain after nerve injuries (causalgia), Jr. Neurophysiol., 1945, viii, 289-295. CrossrefGoogle Scholar8. DE TAKATS G: Causalgic states in peace and war, Jr. Am. Med. Assoc., 1945, cxxviii 699-704. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Boston, Massachusetts*Read at the Twenty-seventh Annual Session of the American College of Physicians, Philadelphia, May 15, 1946. 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