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First published on April 2, 2008, doi:10.1177/0003319707305980
Angiology 2008;59:301.
A more recent version of this article appeared on July 1, 2008
© 2008 SAGE Publications
Acute Posttraumatic Ischemia of the Limbs: Algodystrophy or Related Syndrome? A Prospective Study on a Series of 25 Patients
Marc-Antoine Pistorius, MD*,
Jerome Connault, MD,
Chady Kallassy, MD,
Yann Goueffic, MD,
and
Bernard Planchon, MD, PhD
University Hospital Hotel-Dieu
* To whom correspondence should be addressed. E-mail: marc.pistorius{at}chu-nantes.fr.
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Abstract |
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The aim of this study was to present clinical and para-clinical features of a rarely studied vascular syndrome that usually occurs after a minor traumatic injury. The prospective study of 25 patients identified a group of young subjects, mainly women, generally with history of vascular hyperactivity to cold, showing disseminated pain in a limb always combined with vasospasm, consecutive to a minor traumatic injury in general, and simulating acute ischemia of a limb. The patients’ arterial and microcirculatory flows were restored after warming, which proved that they were suffering from intense, reversible but pathological vasospasm, because of its duration, diffusion, intensity, and disproportion as to the triggering event. The symptoms may recur, but they respond to physiotherapy. Patients’ follow-up showed that microcirculatory function remains abnormal sometime after the initial episode with, in particular, an exacerbation of the venoarteriolar reflex.
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