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Intern Med. 2002 Jun;41(6):498-501.

Complex regional pain syndrome type I induced by pacemaker implantation, with a good response to steroids and neurotropin.

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Internal Medicine I, National Defense Medical College, Tokorozawa, Saitama.


An 84-year-old woman was referred to our hospital because of aches and pain in her left hand and foot. Three months before her symptoms occurred, a pacemaker had been implanted for the treatment of a 2:1 atrioventricular block with bradycardia. In an X-ray examination, prominently decreased bone density was noted in her left fingers and toes. She was diagnosed to have CRPS-I, which was considered to have been induced by the pacemaker implantation. After treatment with methylprednisolone and Neurotropin, her symptoms dramatically improved.

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