Abstract | BACKGROUND: CASE PRESENTATION: A 43-year-old Caucasian male with history of four-extremity complex regional pain syndrome type 2 secondary to right rotator cuff surgery performed at an outside hospital presented to a tertiary care center for treatment of generalized ulcerations on all extremities of unknown etiology. Dermatology performed an extensive work-up including laboratory evaluations and biopsies, which were relatively unremarkable. His ulcers were treated with vinegar-based dressings, hydrotherapy, and irrigation and debridements. He was started on methadone (replacing a home fentanyl patch), ketamine infusion, and amitriptyline in addition to his home adjuncts. He obtained good symptom control, improved sleep, and diminished cognitive slowing, compared with his fentanyl patches. CONCLUSION:
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Authors | Brendan Langford, Thomas P Pittelkow, Arnoley S Abcejo |
Journal | Journal of medical case reports
(J Med Case Rep)
Vol. 16
Issue 1
Pg. 251
(Jun 27 2022)
ISSN: 1752-1947 [Electronic] England |
PMID | 35754020
(Publication Type: Case Reports, Journal Article)
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Copyright | © 2022. The Author(s). |
Chemical References |
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Topics |
- Adult
- Complex Regional Pain Syndromes
(diagnosis, etiology, therapy)
- Extremities
- Fentanyl
(therapeutic use)
- Humans
- Male
- Pain
- Pain Measurement
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