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Journal of Child Neurology
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Reflex Sympathetic Dystrophy in Children

Rolando Cimaz, MD

Pediatric Department, University of Milan, Italy

Marco Matucci-Cerinic, MD

Department of Medicine, University of Florence Italy

Francesco Zulian, MD

Pediatric Department, University of Padua, Italy

Fernanda Falcini, MD

Pediatric Department, University of Florence, Italy

Reflex sympathetic dystrophy is a syndrome characterized by pain in one or more extremities, usually associated with vasomotor changes. Its occurrence in childhood has long been thought to be rare. We describe six cases of pediatric reflex sympathetic dystrophy and suggest that this syndrome could be underdiagnosed in children and adolescents. Psychologic problems frequently play a role in this disorder, which often can be treated conservatively. We also point out that the diagnosis is mainly clinical. An early diagnosis can avoid unnecessary tests and potentially can improve response to treatment, and prognosis. (J Child Neurol 1999;14:363-368).

Journal of Child Neurology, Vol. 14, No. 6, 363-367 (1999)
DOI: 10.1177/088307389901400604
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