Reflex sympathetic dystrophy following pacemaker insertion.
A 55 year old male presented with pain and swelling over dorsum of right hand and small joints, and loss of sweating over right hand since two months. He was a known case of mitral valve prolapse (MVP) with mitral regurgitation and complete heart block for which pacemaker was implanted 1 year back. Bilateral wrist X-ray was suggestive of pronounced demineralization (osteopenia) in the right hand. He was thus diagnosed to have reflex sympathetic dystrophy syndrome (RSDS) considered to be induced by pacemaker insertion. After treatment with amitryptiline and indomethacin his symptoms dramatically improved.
Medicine Department and Rheumatology Clinic, TNMC and BYL Nair Charitable, Hospital, Mumbai 400008.
SourceThe Journal of the Association of Physicians of India 59: 2011 Sep pg 592-4
Mitral Valve Insufficiency
Mitral Valve Prolapse
Reflex Sympathetic Dystrophy
Pub Type(s)Case Reports