Characteristics and period prevalence of self-induced disorder in patients referred to a pain clinic with the diagnosis of complex regional pain syndrome

The Clinical Journal of Pain
Angela Mailis-GagnonMateusz Zurowski

Abstract

Although there have been a few case reports in the literature of self-inflicted symptoms presenting as complex regional pain syndrome (CRPS), there has been no systematic study. This report investigates the period prevalence and characteristics of self-induced disorders in patients referred to a comprehensive pain clinic with a diagnosis of CRPS. Retrospective chart review was conducted for all cases referred as "neuropathic pain" to a comprehensive pain clinic over a period of 2 years. Out of 175 consecutive neuropathic pain referrals over a 2-year period, 41 were specifically referred as CRPS. Application of (modified) 1994 IASP CRPS criteria confirmed the diagnosis of CRPS in 11/15 men and in 15/26 women. Four of the 15 women had evidence of active self-induced signs and symptoms (eg, ligation of the limb, ulcerations, bizarre migrating wounds), which abated with casting, strict observation, discussion with the patient, or other intervention. The characteristics of these cases are presented and compared with other similar cases seen in previous years. This is the first report of a case series of patients diagnosed as CRPS with self-induced symptoms. We discuss in detail limitations of the study, factors that contribute to th...Continue Reading

References

Sep 1, 1991·The Clinical Journal of Pain·D A FishbainH L Rosomoff
Dec 1, 1990·Annals of the Rheumatic Diseases·J Rodriguez-MorenoD Roig-Escofet
Jul 1, 1994·General Hospital Psychiatry·H Merskey
Jan 1, 1993·International Journal of Psychiatry in Medicine·S Taylor, S E Hyler
Mar 1, 1997·Movement Disorders : Official Journal of the Movement Disorder Society·R KurlanS Fahn
Jan 5, 2000·The Clinical Journal of Pain·D A FishbainR S Rosomoff
Dec 12, 2001·Respiration Physiology·J A DeSimoneG M Feldman
Dec 5, 2002·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·W Poewe, G Wenning
Dec 16, 2003·Movement Disorders : Official Journal of the Movement Disorder Society·Daniel S SaAnthony E Lang
May 5, 2004·Psychosomatics·Lewis M Cohen, Kenneth Chang
Jul 28, 2004·Pain·Lucinda A GrandeAli Samii
Oct 27, 2004·The Clinical Journal of Pain·George Mendelson, Danuta Mendelson
Nov 6, 2004·Acta Neurologica Scandinavica·R J VerdugoJ L Ochoa
Jul 13, 2005·Clinical Rheumatology·Mehmet Ali TaskaynatanTunc Alp Kalyon
Oct 4, 2005·Emergency Medicine Clinics of North America·Eric T Boie
Jan 24, 2006·Pain·Wilfrid Jänig, Ralf Baron
May 11, 2006·Neurologic Clinics·Jon Stone, Michael Sharpe
Jun 3, 2006·Pediatrics·Janis WhitlockDaniel Silverman
Jun 15, 2006·The Clinical Journal of Pain·R Norman Harden, Stephen P Bruehl
Jun 15, 2006·The Clinical Journal of Pain·Stephen Bruehl, Ok Yung Chung
Jun 20, 2006·Pain·José L Ochoa
Jun 23, 2006·Seminars in Neurology·Douglas J Lanska
Oct 13, 2006·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·H P Singh, T R C Davis
Oct 19, 2006·Epilepsia·Cees A van DonselaarUNKNOWN Dutch Study Group of Epilepsy in Childhood
Oct 28, 2006·Postgraduate Medical Journal·Sanjiv PetkarAdam P Fitzpatrick
Feb 6, 2007·Journal of the Royal Society of Medicine·Christopher Bass, Peter W Halligan
Feb 13, 2007·Comprehensive Psychiatry·Laurence Claes, Walter Vandereycken
Mar 14, 2007·The Neurologist·Loren A Rolak, John O Fleming
Mar 24, 2007·Pain·Stephen Bruehl, Ok Yung Chung
May 17, 2007·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·A Mailis-GagnonM Zurowski

❮ Previous
Next ❯

Citations

Jun 30, 2011·Rheumatology·Andreas Goebel
Jul 29, 2010·The Clinical Journal of Pain·Angela Mailis-Gagnon, Keith Nicholson
Aug 6, 2010·The Journal of Neuropsychiatry and Clinical Neurosciences·José L Ochoa, Renato J Verdugo
Feb 7, 2013·International Review of Psychiatry·Madhulika A Gupta
Oct 29, 2013·Autoimmunity Reviews·A T Borchers, M E Gershwin
Oct 24, 2014·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Angela Mailis-GagnonRobert Norman Harden
Jun 16, 2016·General Hospital Psychiatry·Gregory P Yates, Marc D Feldman
Oct 9, 2012·International Journal of Oral and Maxillofacial Surgery·W J J M MartinT Forouzanfar
Oct 21, 2016·Autoimmunity Reviews·Andrea T Borchers, M Eric Gershwin
Feb 8, 2018·The Journal of Hand Surgery Asian-Pacific Volume·Jae Won LeeWon Sik Choy
Nov 15, 2018·Practical Neurology·Christopher Bass, Derick T Wade
Jun 1, 2011·Reviews in Pain·Andreas Goebel
Jan 26, 2021·Journal of Translational Autoimmunity·Christopher ChangM Eric Gershwin

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journal of Neuropsychiatry and Clinical Neurosciences
J L Ochoa, R J Verdugo
The Clinical Journal of Pain
Angela Mailis-Gagnon, Keith Nicholson
Brain : a Journal of Neurology
Anette SchragKailash Bhatia
© 2021 Meta ULC. All rights reserved