Frequency and Risk Factors of Complex Regional Pain Syndrome in Cotonou (Benin)

Abstract Full-Text HTML Download Download as PDF (Size:227KB) PP. 93-96
DOI: 10.4236/ojra.2014.42014    2,731 Downloads   3,926 Views   Citations

ABSTRACT

Aim: To determine the frequency and the risk factors of Complex Regional Pain syndrome (CRPS) in Cotonou (Benin). Patients and Méthod: This has been a transversal study carried out over 22 years on files of CRPS infected patients and submitted to rheumatologic consultation in the National Hospital University of Cotonou. Results: 73 out of 17,342 patients examined (0.42%) were suffering from CRPS. Those 73 patients (40 women, 54.8% and 33 men, 45.2%) were in average 54.66 years old and enjoyed an average duration of evolution of 5.79 months. The trauma (41 cases, 56.1%), the stroke (19 cases, 25%), the diabetes (8 cases, 11.3), were the main risk factors that were observed. CRPS was preferably located at the shoulder-hand (34.2%), shoulder (28.8%), wrist-hand (16.4%) and knee (11%). Inflammatory pain was observed in 55 cases. The treatment was dominated by griseofulvina (41 cases, 56.1%), antiinflammatory drugs (38 cases, 52%), analgesic (20 cases, 27, 3%), joint injection by betamethasone (17 cases, 27%). Conclusion: CRPS is not rare in our country. The first risk factor remains the trauma in rheumatologic consultation in Cotonou.

Cite this paper

Avimadje, M. , Zomalheto, Z. , Dossou-Yovo, H. and Gounongbe, M. (2014) Frequency and Risk Factors of Complex Regional Pain Syndrome in Cotonou (Benin). Open Journal of Rheumatology and Autoimmune Diseases, 4, 93-96. doi: 10.4236/ojra.2014.42014.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Vail, J. (2007) Oral Methadone for Management of Regional Sympathetic Dystrophy Syndrome: A Case Revisited. International Journal of Pharmaceutical Compounding, 11, 187-192.
[2] Hayek, S.M. and Mekhail, N.A. (2004) Complex Regional Pain Syndrome: Redefining Reflex Sympathetic Dystrophy and Causalgia. Physician and Sportsmedicine, 32, 18-25.
http://dx.doi.org/10.3810/psm.2004.05.254
[3] Del Pinal, F. (2013) I Have a Dream... Reflex Sympathetic Dystrophy (RSD or Complex Regional Pain Syndrome—CRPS I) Does Not Exist. Journal of Hand Surgery (European Volume), 38, 595-597. http://dx.doi.org/10.1177/1753193413477058
[4] Aprile, A.E. (1997) Complex Regional Pain Syndrome. AANA Journal, 65, 557-560.
[5] Nzenze, J.R., Belembaogo, E., Magne, C. et al. (2001) Overview Inflammatory Arthropathy in Libreville. Medecine Afrique Noire, 48, 309-401.
[6] Datie, A.M., Cowpply-Bony, P., Akanni, F., et al. (2008) Complications of the Shoulder in Vascular Hemiplegics Subjects: Frequency and Associated Factors in a Teaching Hospital in Abidjan (Cote d’Ivoire). African Journal of Neurological Sciences, 27, 22-31.
[7] Duman, I., Dincer, U., Taskaynata, M.A., et al. (2007) Reflex Sympathetic Dystrophy: A Retrospective Epidemiological Study of 168 Patients. Clinical Rheumatology, 26, 1433-1437.
http://dx.doi.org/10.1007/s10067-006-0515-8
[8] Van der Lann, L. and Goris, R.J. (1996) Reflex Sympathetic Syndrome after a Burn Injury. Burns, 22, 303-306. http://dx.doi.org/10.1016/0305-4179(95)00139-5
[9] Sharma, A., Agarwal, S., Broatch, J., et al. (2009) A Web-Based Cross-Sectional Epidemiological Survey of Complex Regional Pain Syndrome. Regional Anesthesia and Pain Medicine, 34, 110-115. http://dx.doi.org/10.1097/AAP.0b013e3181958f90
[10] Zyluk, A., Puchalski, P. and Zyluk, B. (2004) Shoulder Pain and Mobility in the Course of Algodystrophy of the Hand. Chirurgia Narzadow Ruchu I Ortopedia Polska, 69, 273-277.
[11] Allen, G., Galer, B.S. and Schwartz, L. (1999) Epidemiology of Complex Regional Pain Syndrome: A Retrospective of Chart Review of 134 Patients. Pain, 80, 539-544. http://dx.doi.org/10.1016/S0304-3959(98)00246-2
[12] Sandroni, P., Benrud-Larson, L.M., McClelland, R.L., et al. (2007) Complex Regional Pain Syndrome Type I: Incidence and Prevalence in Olmted Country a Population-Based Study. Pain, 129, 12-20. http://dx.doi.org/10.1016/j.pain.2006.09.008
[13] Matrane, A., Benkiran, M. and Kebbou, M. (2008) Algodystrophic Syndome: Contribution of Bone Scintigraphy. Revue Marocaine de Chirurgie Orthopédique et Traumatologique, 35, 10-12.
[14] Veldman, P.H., Reynen, H.M., Arntz, I.E., et al. (1993) Signs and Symptoms of Reflex Sympathetic Dystrophy: Prospective Study of 829 Patients. Lancet, 342, 1012-1016. http://dx.doi.org/10.1016/0140-6736(93)92877-V
[15] Eulry, F. (1998) Algodystrophies of the Foot and Ankle. Bone and Joint Disorders of the Foot and Ankle, 149-156.

  
comments powered by Disqus

Copyright © 2020 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.