Cocaine-induced reflex sympathetic dystrophy.

Abstract:

:Reflex sympathetic dystrophy (RSD) usually follows traumatic injuries or neurologic disorders. The authors report a rare case of RSD that followed intraarterial administration of cocaine in a patient with a history of intravenous drug abuse. The cocaine was self-administered inadvertently into the femoral artery rather than the femoral vein. Despite the intense pain, swelling, and dermatologic changes that followed, the diagnosis of RSD was not considered until scintigraphic studies suggested it. A combination of normal radiographs, a normal leukocyte study, and an abnormal bone scan in the region of tenderness and swelling excluded other possibilities and suggested RSD. In our patient, RSD was likely caused by an ischemic autonomic injury from the vasoconstrictor action of cocaine. Clinical follow-up and relief using phentolamine, an alpha-adrenergic blocker and vasodilator, made the diagnosis of RSD most likely.

journal_name

Clin Nucl Med

authors

Gay D,Singh A

doi

10.1097/00003072-200011000-00001

keywords:

subject

Has Abstract

pub_date

2000-11-01 00:00:00

pages

863-5

issue

11

eissn

0363-9762

issn

1536-0229

journal_volume

25

pub_type

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