REFLEX SYMPATHETIC DYSTROPHY IN CHILDHOOD - A CASE-REPORT

A case report is presented of a 15-year-old girl with reflex sympathet ic dystrophy (RSD). She was referred to hospital because of left upper limb pain. Her left upper limb was cold, edematous and blue with a li mited active range of movement. The serum concentration of noradrenali ne was lower on the painful side than on the healthy side, and neurotr opin, which has an antinociceptive effect to hyperalgesia, was clearly effective. Early diagnosis and management is essential in the treatme nt of RSD and administration of neurotropin is a useful and non-invasi ve treatment without severe adverse effects.