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Komplekst regionalt smertesyndrom

Sist revidert:
Sist revidert av:

Definisjon:
En forstyrrelse i en kroppsregion, oftest distalt i en ekstremitet, karakterisert ved smerte, hevelse, nedsatt bevegelighet, vasomotorisk instabilitet, hudforandringer og flekkvis beindemineralisering
Forekomst:
Ingen sjelden tilstand, klart hyppigere blant kvinner og blant mennesker over 50 år
Symptomer:
Tilstanden starter vanligvis etter en fraktur, en bløtvevsskade eller kirurgi
Funn:
Misfarging av huden, endret hudtemperatur, ødem, nedsatt bevegelighet og kraft, tremor samt hyperhidrose og endret vekst av hår og negler, ev. nevrologiske utfall
Diagnostikk:
Ingen tester er av spesifikk diagnostisk verdi
Behandling:
En lang rekke behandlingstiltak er mulige: medikamentell behandling, fysioterapi, blokade, ev. sympatektomi
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  • Rune Midgard, dr. med., overlege og førsteamanuensis II emeritus, NTNU
  • Ingard Løge, spesialist allmennmedisin, redaktør NEL

Tidligere fagmedarbeidere

  • Arild Aamodt, overlege/professor, Ortopedisk avdeling, Lovisenberg Sykehus, Oslo