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© 1989 British Society for Rheumatology

other

REFLEX SYMPATHETIC DYSTROPHY (ALGONEURODYSTROPHY): TEMPERATURE STUDIES IN THE UPPER LIMB

E. D. COOKE1, E. N. GLICK*, SALLY A. BOWCOCK, R. E. SMITH, CAROLINE WARD, N. E. ALMOND and JULIE A. BEACHAM

Department of Medical Electronics, St Bartholomew's Hospital London ECIA 7BE
*Department of Rheumatology, Chase Farm Hospital Enfield, Middlesex EN2 8JL

Correspondence to: 1Correspondence to Dr. Cooke.

The temperature response of the hands to mild cold stress (20°C for one minute) has been measured in 20 normal subjects, 20 patients with reflex sympathetic dystrophy (RSD) and 10 patients with chronic upper limb pain (CULP) of uncertain origin. The results of RSD and CULP groups were significantly (p<0.05) different from normal but were indistinguishable. For each patient, 11 variables obtained from the thermal stress test were compared with the normal range. Ten of the RSD group and seven of the CULP group had four or more abnormal variables and were considered to have a thermoregulatory abnormality. The thermal stress test is useful in the objective assessment of RSD. It is non-invasive, patient acceptable and reproducible.

KEY WORDS: Thermography, Thermoregulation, Refex sympathetic dystrophy, Sudeck's dystrophy, Upper limb pain, Cold stress


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