Steroid atrophy scarring treated with fat grafting in a patient with complex regional pain syndrome: A case report
| Autor: | Sherry S. Collawn, Leah R. Strickland |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Steroid atrophy
medicine.medical_specialty Causalgia Adolescent Dermatology 030230 surgery 03 medical and health sciences Cicatrix 0302 clinical medicine Atrophy Adrenal Cortex Hormones Edema medicine Humans Peripheral Nerves business.industry Dystrophy medicine.disease Surgery Complex regional pain syndrome Treatment Outcome Adipose Tissue 030220 oncology & carcinogenesis Anesthesia Reflex neurovascular dystrophy Reflex Female medicine.symptom business Complication |
| Zdroj: | Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology. 18(3) |
| ISSN: | 1476-4180 |
| Popis: | Subcutaneous atrophy is a known complication of steroid injections. Excellent results with fat grafting for the treatment of steroid atrophy have been documented. However, the benefit of treating steroid-induced subcutaneous atrophy in an extremity diagnosed with complex regional pain syndrome (CRPS) has not been described. CRPS, known formerly as reflex sympathetic dystrophy or RSD, causalgia, or reflex neurovascular dystrophy, is a severe, progressive musculoskeletal pain syndrome characterized by pain which is disproportionate to the severity of the inciting event, edema, or skin changes. Common treatment modalities include pharmacotherapy, physical therapy, and nerve blocks-each therapy producing varying results. We present a literature review of CRPS and the case of a 15-year-old female who developed CRPS of the left lower leg after arthroscopic debridement with retrograde drilling of an osteochondral lesion. Steroid atrophy of the involved area following a saphenous nerve block complicated the patient's treatment course. The area of atrophy was treated with autologous fat grafting. Following the adipose injection procedure, the patient experienced almost complete resolution of her CPRS-associated pain symptoms, along with improved cosmetic appearance of the area. |
| Databáze: | OpenAIRE |
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