The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
권호 표지

Complex Regional Pain Syndrome followed by Artery and Vein Puncture -A report of 2 cases-

동정맥 천자 후 발생한 복합부위통증증후군의 치료 -증례보고-

  • Ahn, Gyu Yul (Pain Clinic, Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University) ;
  • Han, Kyung Ream (Pain Clinic, Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University) ;
  • Lee, Hyun Tak (Pain Clinic, Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University) ;
  • Kim, Yeui Seok (Pain Clinic, Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University) ;
  • Kim, Chan (Pain Clinic, Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University)
  • 안규열 (아주대학교 의과대학 마취통증의학교실) ;
  • 한경림 (아주대학교 의과대학 마취통증의학교실) ;
  • 이현탁 (아주대학교 의과대학 마취통증의학교실) ;
  • 김의석 (아주대학교 의과대학 마취통증의학교실) ;
  • 김찬 (아주대학교 의과대학 마취통증의학교실)
  • Received : 2007.03.30
  • Accepted : 2007.06.01
  • Published : 2007.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

No definitive etiology or risk factors have been identified that predispose individuals to developing complex regional pain syndrome (CRPS). We experienced two cases of CRPS developed after arterial and venous puncture which were done in regular medical work. A 35-years old female patient was suffered from pain and allodynia with swelling at right hand and wrist after radial artery puncture for monitoring of blood pressure during general anesthesia. A 24-years old male patient had pain and swelling with allodynia at the right fingers and arm after median cubital vein puncture for blood sampling. They did not have proper pain management as CRPS patients in the past weeks and months after their pain occurred. They were diagnosed as CRPS and started undergoing various interventional procedures, which led to improve their pain condition. Our cases suggest that CRPS could develop without any proved tissue damage in routine medical practice. In conclusion, health care workers should be educated in knowledge about the uncommon medical condition and proper consultation to pain specialist when it happens.

Keywords

References

  1. Bonica IJ, Loster ID, Butler SH, Chapman CR, Turk DC: The management of pain. 3rd ed. Philadelphia, Lippincott Williams & Wilkins. 2001, pp 388-411
  2. Barash, PG, Cullen BF, Stoelting RK: Clinical anesthesia. 5th ed. Philadelphia, Lippincott Williams & Wilkins. 2006, pp 1456-8
  3. Veldman PH, Reynen HM, Arntz IE, Gorid RJ: Signs and symptoms of reflex sympathetic dystrophy: prospective study of 829 patients. Lancet 1993; 342: 1012-6 https://doi.org/10.1016/0140-6736(93)92877-V
  4. Allen G, Galer BS, Schwartz L: Epidemiology of complex regional pain syndrome: a retrospective chart review of 134 patients. Pain 1999; 80: 539-44 https://doi.org/10.1016/S0304-3959(98)00246-2
  5. Stanton-Hicks M: Complex regional pain syndrome: manifestations and the role of neurostimulation in its management. J Pain Symptom Manage 2006; 31(Suppl 4): 20-4 https://doi.org/10.1016/j.jpainsymman.2005.12.011
  6. Baron R: Complex regional pain syndrome. In: Textbook of pain. 5th ed. Edited by McMahon SB, Koltzenburg M: Edinburgh, Elsevier Churchill Livingstone. 2006, pp 1011-27
  7. Wasner G, Schattschneider J, Binder A, Baron R: Complex regional pain syndrome-diagnostic, mechanisms, CNS involvement and therapy. Spinal Cord 2003; 41: 61-75 https://doi.org/10.1038/sj.sc.3101404
  8. Nelson DV, Stacey BR: Interventional therapies in the management of complex regional pain syndrome. Clin J Pain 2006; 22: 438-42 https://doi.org/10.1097/01.ajp.0000192515.50955.9f
  9. Genc H, Karagoz A, Saracoglu M, Sert E, Erdem HR: Complex regional pain syndrome type-I after rubella vaccine. Eur J Pain 2005; 9: 517-20 https://doi.org/10.1016/j.ejpain.2004.11.003
  10. Jastaniah WA, Dobson S, Lugsdin JG, Petty RE: Complex regional pain sysdrome after hepatitis B vaccine. J Pediatr 2003; 143: 802-4 https://doi.org/10.1067/S0022-3476(03)00536-5