Reflex sympathetic dystrophy (RSD) during pregnancy is a rare condition and may be misdiagnosed. We report a case of RSD involving the hip in a 22-year-old woman with onset during the third trimester of pregnancy
Case presentation
A 22-year-old Moroccan woman presented in the third trimester (34 weeks of gestation) of her second pregnancy with permanent pain in the left hip that made standing and walking difficult. Physical examination of the hip showed mild painful range-of-motion restriction. Erythrocyte sedimentation rate was 40 mm (1st hour) and C-reactive protein was 10 mg/l. Ultrasound of the left hip was normal. Magnetic resonance imaging (MRI) revealed a characteristic image of RSD involving the left hip. Treatment was symptomatic, combining non-weight-bearing exercises with rest and analgesics (Paracetamol). Physical therapy was gradually undertaken and was carried out only to the point of pain. Clinical recovery was rapidly obtained (within 2 weeks)
Conclusion
Pregnancy is a potential cause of hip RSD. This diagnosis must be always kept in mind when attending a pregnant patient or a patient with hip pain and functional impairment
| Référence | 3024 |
| Année | 2013 |
| Type | Article |
| Lien externe | http://www.sciencedirect.com/science/article/pii/S1110116413000355 |
| Disciplines associées | Gynécologie Obstétrique 2, Radiologie Centrale |
| Auteur | Mansouri S |
| Auteurs associés | Abourazzak FZ, Almoubakir H, Rabhi H, Tahiri L, Banani A, Tizniti S, Harzy T |
| Discipline | Rhumatologie |
| Revue | Egyptian Rheumatologist |
| Référence Revue | 35(4):245–247 |