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Rheumatology

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Question:

What are diagnostic criteria for dx of CRPS?

Author: H K



Answer:

Continuing pain, which is disproportionate to any inciting event AND at least one symptom in three of the following four categories: • Sensory: Reports of hyperesthesia and/or allodynia • Vasomotor: Reports of temperature asymmetry and/or skin color changes and/or skin color asymmetry • Sudomotor/edema: Reports of edema and/or sweating changes and/or sweating asymmetry • Motor/trophic: Reports of decreased range of motion and/or motor dysfunction (weakness, tremor, dystonia) and/or trophic changes (hair, nail, skin) AND And at least one sign in two of the four following categories • Sensory: Evidence of hyperalgesia (to pinprick) and/or allodynia (to light touch and/or temperature sensation and/or deep somatic pressure and/or joint movement) • Vasomotor: Evidence of temperature asymmetry (>1°C) and/or skin color changes and/or asymmetry • Sudomotor/edema: Evidence of edema and/or sweating changes and/or sweating asymmetry • Motor/trophic: Evidence of decreased range of motion and/or motor dysfunction (weakness, tremor, dystonia) and/or trophic changes (hair, nail, skin) and no other dx


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H K
H K