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Zeitschrift für Rheumatologie

, Volume 76, Issue 4, pp 335–347 | Cite as

Komplexes regionales Schmerzsyndrom

  • F. Brunner
CME

Zusammenfassung

Mit dem Begriff des komplexen regionalen Schmerzsyndroms (CRPS) werden verschiedene schmerzhafte Zustände zusammengefasst, die typischerweise nach einem auslösenden Ereignis distal an einer Extremität auftreten. Charakteristischerweise übersteigen die Dauer und die Intensität der Beschwerden den normalerweise zu erwartenden Verlauf. Klinisch manifestiert sich das CRPS als bunter Symptomkomplex, bestehend aus sensiblen, vasomotorischen, sudomotorischen, motorischen und trophischen Störungen. Beim CRPS handelt es sich grundsätzlich um eine klinische Diagnose unter Berücksichtigung der modifizierten Budapest-Kriterien. In der Frühphase ist aus differenzialdiagnostischer Sicht eine Abklärung hinsichtlich eines Infektes, einer neurogenen Kompressionssymptomatik und entzündlichen Erkrankungen essenziell. Benigne Verläufe sind bekannt, viele Patienten entwickeln jedoch chronische Verläufe mit persistierenden Beschwerden auch nach 1 Jahr. Die Therapie basiert auf medikamentösen, interventionellen, physio- bzw. ergotherapeutischen und psychiatrischen Behandlungsoptionen.

Schlüsselwörter

Pathophysiologie Diagnose Differenzialdiagnose Therapie Extremität 

Complex regional pain syndrome

Abstract

The term complex regional pain syndrome (CRPS) describes a variety of painful conditions, which typically occur distally on an extremity following an initiating event. Characteristically CRPS exceeds the expected clinical course in both magnitude and duration. Clinical manifestations of CRPS include sensory, vasomotor, sudomotor, motor and trophic disorders. The diagnosis of CRPS is purely clinical and based on the modified Budapest criteria. Essential differential diagnoses in the early phase include infections, neurological compression and inflammatory conditions. Although benign courses have been reported, many patients develop a chronic condition with persisting complaints even after 1 year. Therapy is based on a variety of pharmacological, interventional, physiotherapeutic, occupational and psychiatric treatment options.

Keywords

Pathophysiology Diagnosis Differential diagnosis Therapy Extremities 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

F. Brunner gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine vom Autor durchgeführten Studien an Menschen oder Tieren. Alle Patienten, die über Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts zu identifizieren sind, haben hierzu ihre schriftliche Einwilligung gegeben.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  1. 1.Universitäre Klinik für Rheumatologie, Abteilung für Physikalische Medizin und RheumatologieUniversitätsklinik BalgristZürichSchweiz

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