Neurological Associates

Pain Management Center

Vero Beach, Florida

H. Hooshmand, M. D.

DIPLOMATE AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY

BOARD CERTIFIED IN ELECTROENCEPHOLOGRAPHY

BOARD CERTIFIED IN ELECTROMYOGRAPHY  

BOARD CERTIFIED IN AMERICAN BOARD OF ELECTODIAGNOSTIC MEDICINE

INTRACTABLE NEUROLOGY

EPILEPSY, PAIN, MS

An International Referral Center dedicated to Treatment, Education and Research

 

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RSD PUZZLE #20
Unexplained Temperature Changes



"I have had RSD for the past 6 years. In the past 1 year, I have been suffering from bouts of fever and skin rash. They don't necessarily happen in the same time. Every time I have a menstrual period, my temperature jumps to 100 to 101. At other times, in the absence of any kind of infection, my temperature jumps up to 104 to 105. The blood cultures have been negative and antibiotics do not help. The high temperature lasts one to two days and then it clears up".

Attacks of fever are not unusual in late stage (stages III and IV) of RSD. One of the major functions of the sympathetic system has been influencing and stimulating the immune system.

Years of inflammation of soft tissues due to RSD result in disturbance of function of the immune system. As a result the patient may develop a precipitous drop in platelet cell count, a rise in the white blood cell count, bouts of low or high-grade fever.

Whereas in the first few years the RSD patients have less tendency to suffer from viral infections and upper respiratory tract infections due to contamination from the other members of the family, in stages III and IV of RSD, the reverse is true. The late stage RSD patients are more likely to develop viral or upper respiratory tract infections.

The phenomenon of "aseptic fever" due to the disturbance of the immune system in absence of any type of infection is nothing but the disturbance of the function of the immune system and the manifestation of inflammation secondary to RSD. Such bouts of fever usually subside with effective treatment for RSD such as administration of infusion pump.

In the late stages of RSD, the sympathetic ganglion nerve blocks usually are not effective but the treatment with oral or skin patch alpha blockers can help control the bouts of aseptic fever.


H. Hooshmand, M.D.

 

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Copyright 1997-2014 H. Hooshmand, M.D. No part of this publication may be reproduced, transmitted, stored in a retrieval system other than this specific media, transcribed, or translated into any language without the expressed written permission from the author; H. Hooshmand, M.D. and Eric Phillips and CMNE. This material is for informational and education purposes. It is not meant to take the place of your physician. Before starting, changing, or stopping any treatments or medicines consult your physician.


Send e-mail to Eric Phillips: utopia33@prodigy.net  with questions or comments about this media and content.

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The material on the Neurological Associates Pain Management Center Homepage and all it's associated, linked or reference pages is for informational and education purposes. It is not meant to take the place of your physician. Before starting, changing, or stopping any treatments or medicines consult your physician. H. Hooshmand, M.D., Neurological Associates Pain Management Center and Associates will not be held liable for any damage or loss as a result of information provided on this page or associated documentation. Again, this WEB SITE is simply published as an information source and should not be used to treat or make judgments on RSD/CRPS. All associated material on this web site may not be copied, reproduced or quoted without expressed written permission from the owner; Copyright 1999-2014 H. Hooshmand, M.D.

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Web Site designed and maintained by:

Eric M. Phillips; E-mail: utopia33@prodigy.net

This page was last updated on 3/11/2000.
                  
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