To investigate oxygen metabolism in complex regional pain syndrome (CRPS),
the authors measured skin lactate via dermal microdialysis performed on pat
ients with CRPS (n = 11) and healthy control subjects (n = 11). In addition
, they measured blood lactate. Although venous lactate was unaltered, skin
lactate was increased in patients with CRPS (2.95 mmol/L; control subjects
1.74 mmol/L; p < 0.005). These results suggest enhanced anaerobic glycolysi
s, probably as a result of chronic tissue hypoxia.