Tuberculosis of the wrist masquerading as complex regional pain syndrome type 1: A diagnostic dilemma
Keywords:
Reflex Sympathetic Dystrophy, Tuberculosis, Osteoarticular, Complex Regional Pain Syndrome Type 1
Abstract
Tuberculosis of the wrist region is unusual site and requires high index of suspicion to get a validated diagnosis. The pattern of clinical features and their vagueness contribute to its neglect or misdiagnosis . Various other chronic pain disorders of the wrist can mimic the tubercular affectation of the wrist and vice versa. Complex regional pain syndrome type 1 is the clinical entity that can closely resemble prodromal features of tubercular disease especially in the settings of history of minor trauma and history of consequent immobilization as its treatment.
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References
1. Tran de QH,Duong S,Bertini P,Finlayson RJ : Treatment of complex regional pain syndrome : A review of the evidence. Can J Anaesth 2010;57(2): 146-166. [PubMed]
2. Mackey S,Feinberg S: Pharmacologic therapies for complex regional pain syndrome. Curr Pain Headache Rep 2007;11(1):38-43. [PubMed]
3. demos M,de Bruijn AG,Huygen FJ,Dielman JP ,Stricker BH, Sturkenboom MC : The incidence of complex regional pain syndrome:A population- based study.Pain 2007; 129(1-2):12-20. [PubMed]
4. Merskey H,Bogduk N: Classification of Chronic Pain: Description of Chronic Pain Syndromes and Definitions of Pain Terms, ed 2.Seattle,WA,IASP Press,1994.
5. Harden N,Bruehl S: Complex regional pain syndrome, in Fishman SM,Ballantyne JC, Rathmell JP, eds: Bonica’s Management of Pain, ed 4.Philadelphia,PA,Lippincott Williams & Wilkins,2010, pp 314-33.
6. Scadding JW: Complex Regional Pain Syndrome. In Wall and Melzac’s textbook of pain. 5th edition. Edited by McMahon SB,Koltzenberg M.Philadelphia: Elsevier/Churchill Livingstone; 2005:835-849.
7. Tietzen R: Reflex sympathetic dystrophy of the knee. Clin Orthop Relat Res 1986,209:234-243. [PubMed]
8. Hakan Gundes, Bilgehan Tosun, Sibel Gundes, Alptekin Tosun, Bahar Muezzinoglu : Persistent posttraumatic wrist pain: complex regional pain syndrome? Mycobacterium tuberculosis infection should be in the differential diagnosis. European Journal of Orthopaedic Surgery & Traumatology.2007;17(2):193-197.
2. Mackey S,Feinberg S: Pharmacologic therapies for complex regional pain syndrome. Curr Pain Headache Rep 2007;11(1):38-43. [PubMed]
3. demos M,de Bruijn AG,Huygen FJ,Dielman JP ,Stricker BH, Sturkenboom MC : The incidence of complex regional pain syndrome:A population- based study.Pain 2007; 129(1-2):12-20. [PubMed]
4. Merskey H,Bogduk N: Classification of Chronic Pain: Description of Chronic Pain Syndromes and Definitions of Pain Terms, ed 2.Seattle,WA,IASP Press,1994.
5. Harden N,Bruehl S: Complex regional pain syndrome, in Fishman SM,Ballantyne JC, Rathmell JP, eds: Bonica’s Management of Pain, ed 4.Philadelphia,PA,Lippincott Williams & Wilkins,2010, pp 314-33.
6. Scadding JW: Complex Regional Pain Syndrome. In Wall and Melzac’s textbook of pain. 5th edition. Edited by McMahon SB,Koltzenberg M.Philadelphia: Elsevier/Churchill Livingstone; 2005:835-849.
7. Tietzen R: Reflex sympathetic dystrophy of the knee. Clin Orthop Relat Res 1986,209:234-243. [PubMed]
8. Hakan Gundes, Bilgehan Tosun, Sibel Gundes, Alptekin Tosun, Bahar Muezzinoglu : Persistent posttraumatic wrist pain: complex regional pain syndrome? Mycobacterium tuberculosis infection should be in the differential diagnosis. European Journal of Orthopaedic Surgery & Traumatology.2007;17(2):193-197.
CITATION
DOI: 10.17511/ijmrr.2014.i03.19
Published: 2014-06-30
How to Cite
1.
Singh Dharmshaktu G, Vijay Roy A. Tuberculosis of the wrist masquerading as complex regional pain syndrome type 1: A diagnostic dilemma. Int J Med Res Rev [Internet]. 2014Jun.30 [cited 2024Dec.27];2(3):270-3. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/102
Section
Case Report
OAI - Open Archives Initiative
