Unbound MEDLINE

Reflex sympathetic dystrophy following pacemaker insertion.

Abstract

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.

Authors

Londhey VA, Singh N, Kini S

Institution

Medicine Department and Rheumatology Clinic, TNMC and BYL Nair Charitable, Hospital, Mumbai 400008.

Source

The Journal of the Association of Physicians of India 59: 2011 Sep pg 592-4

MeSH

Heart Block
Humans
Male
Middle Aged
Mitral Valve Insufficiency
Mitral Valve Prolapse
Pacemaker, Artificial
Reflex Sympathetic Dystrophy

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22334977