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Rheumatology

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Question:

What are the clinical manifestation stages of CRPS?

Author: H K



Answer:

Stage 1 (after event/without apparent cause pain in limb, burning, throbbig, diffuse uncomfortable aching, sensitivity to touch/cold, localized edema, not compatible with single peripheral nerve symptoms, vasomotor disturbances, norma radiograph but patchy demineralization) Stage 2 (progression of soft tissue edema, thickening of skin and articular soft tissues, muscle wasting, development of brawny skin, lasts for 3-6 months) Stage 3 (most severe, limit ROM, shoulder-hand syndrome, contractures of digits, waxy trophic skin changes, brittle rigid nails, bone radiography reveals severe demineralization)


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H K
H K