By Professeur Paul Doury, Dr. Yves Dirheimer, Dr. Serge Pattin (auth.)
It is with nice excitement and ,much curiosity that I authorized to jot down the foreword to this ebook by way of Paul Doury, Yves Dirheimer, and Serge Pattin with reference to "algodystrophy." First, simply because i do know the level in their own event, from which they've got chosen the simplest for this ebook. moment, since it looked as if it would me that their exact research of the various works at the topic, works which were released worldwide and which offer assorted physiopathologic interpretations, would supply a accomplished learn assembly a true want. Algodystrophy, to undertake the time period utilized by the authors, advantages rheumatolog ists' cautious realization. it truly is certainly a common situation and, as is now renowned, happens within the so much different etiologic situations; it isn't completely posttraumatic, a thought on which analysis had lengthy been dependent. This variable etiology indicates the complexity of algodystrophy's pathogenic mechanism.
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Additional info for Algodystrophy: Diagnosis and Therapy of a Frequent Disease of the Locomotor Apparatus
Among these, age is the most important, which is quite understandable given the origin of hydroxyproline. Leroy, quoted by Dreux  provides the following particulars concerning the period from 0 to 25 years: from o to 1 year the average value is 33 mg/24 h; from 1 to 10 years, it is 67 mg/24 h; from 11 to 16 years, one observes the highest excretion rate (143 mg/24 h), probably due to the rapid growth characterizing this period; from 17 to 24 years the average is 50 mg/24 h; above the age of 24 years the normal rates are about 25 mg/24 h.
Diabetes Mellitus In 1970 Lequesne  already pointed out the role played by diabetes mellitus; this role is now recognized by most authors. The series of 103 algodystrophies reported by Schiano et al. , however, includes only 2 diabetics. In a series of 108 of our algodystrophy patients we found 8 patent or latent cases of diabetes. But since the oral glucose tolerance test was not performed in all these patients, the frequency of diabetes in our series might have been underestimated. 2.
Algodystrophy affects predominantly the lumbar or the thoracolumbar spine; it causes incapacitating pain and sometimes leads to kyphosis; radiologically, it is characterized by regional demineralization with one or several flatted vertebrae. In the few published cases, the spinal involvement is said to occur often at the same time as algodystrophy of the lower limbs or to follow it after a short interval; 22 sometimes it is part of an algodystrophic condition with successive episodes. The evolution seems to be cyclic and to end up with clinical recovery and radiological stabilization.