Increased skin lactate in complex regional pain syndrome:: Evidence for tissue hypoxia?

被引:66
作者
Birklein, F [1 ]
Weber, M [1 ]
Neundörfer, B [1 ]
机构
[1] Univ Erlangen Nurnberg, Inst Physiol 1, Neurol Klin, D-91054 Erlangen, Germany
关键词
D O I
10.1212/WNL.55.8.1213
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
To investigate oxygen metabolism in complex regional pain syndrome (CRPS), the authors measured skin lactate via dermal microdialysis performed on patients with CRPS (n = 11) and healthy control subjects (n = 11). In addition, they measured blood lactate. Although venous lactate was unaltered, skin lactate was increased in patients with CRPS (2.95 mmol/L; control subjects 1.74 mmol/L; p < 0.005). These results suggest enhanced anaerobic glycolysis, probably as a result of chronic tissue hypoxia.
引用
收藏
页码:1213 / 1215
页数:3
相关论文
共 10 条
[1]   Experimental tissue acidosis leads to increased pain in complex regional pain syndrome (CRPS) [J].
Birklein, F ;
Weber, M ;
Ernst, M ;
Riedl, B ;
Neundörfer, B ;
Handwerker, HO .
PAIN, 2000, 87 (02) :227-234
[2]  
Blair S J, 1998, Acta Orthop Belg, V64, P448
[3]   EFFECTS OF VASOACTIVE DRUGS ON CIRCULATION IN CANINE SUBCUTANEOUS ADIPOSE TISSUE [J].
FREDHOLM, BB ;
OBERG, B ;
ROSELL, S .
ACTA PHYSIOLOGICA SCANDINAVICA, 1970, 79 (04) :564-&
[4]   METABOLIC CHANGES IN REFLEX SYMPATHETIC DYSTROPHY - A P-31 NMR-SPECTROSCOPY STUDY [J].
HEERSCHAP, A ;
DENHOLLANDER, JA ;
REYNEN, H ;
GORIS, RJA .
MUSCLE & NERVE, 1993, 16 (04) :367-373
[5]   Microdialysis measurements in skin: Evidence for significant lactate release in healthy humans [J].
Jansson, PA ;
Krogstad, AL ;
Lonnroth, P .
AMERICAN JOURNAL OF PHYSIOLOGY-ENDOCRINOLOGY AND METABOLISM, 1996, 271 (01) :E138-E142
[6]   REFLEX SYMPATHETIC DYSTROPHY - EVOLUTION OF MICROCIRCULATORY DISTURBANCES IN TIME [J].
KURVERS, HAJM ;
JACOBS, MJHM ;
BEUK, RJ ;
VANDENWILDENBERG, FAJM ;
KITSLAAR, PJEHM ;
SLAAF, DW ;
RENEMAN, RS .
PAIN, 1995, 60 (03) :333-340
[7]   Patterns of hyperalgesia in complex regional pain syndrome [J].
Sieweke, N ;
Birklein, F ;
Riedl, B ;
Neundörfer, B ;
Handwerker, HO .
PAIN, 1999, 80 (1-2) :171-177
[8]   REFLEX SYMPATHETIC DYSTROPHY - CHANGING CONCEPTS AND TAXONOMY [J].
STANTONHICKS, M ;
JANIG, W ;
HASSENBUSCH, S ;
HADDOX, JD ;
BOAS, R ;
WILSON, P .
PAIN, 1995, 63 (01) :127-133
[9]   Complex regional pain syndrome type I (RSD) -: Pathology of skeletal muscle and peripheral nerve [J].
van der Laan, L ;
ter Laak, HJ ;
Gabreëls-Festen, A ;
Gabreëls, F ;
Goris, RJA .
NEUROLOGY, 1998, 51 (01) :20-25
[10]   Effect of vitamin C on frequency of reflex sympathetic dystrophy in wrist fractures: a randomised trial [J].
Zollinger, PE ;
Tuinebreijer, WE ;
Kreis, RW ;
Breederveld, RS .
LANCET, 1999, 354 (9195) :2025-2028