Table 3.
Clinical Diagnostic Criteria (Budapest Criteria) for Complex Regional Pain Syndrome
| Case 1∗ | Case 2∗ | Case 3∗ | |
|---|---|---|---|
| A: Disproportionate pain | Yes | Yes | Yes |
| B: 1 symptom in 3 of the 4 categories | |||
| Category 1: Sensory—hyperesthesia and/or allodynia | Yes | Yes | Yes |
| Category 2: Vasomotor—temperature asymmetry and/or skin color changes and/or skin color asymmetry | Yes | Yes | Yes |
| Category 3: Sudomotor/edema—edema and/or sweating changes and/or sweating asymmetry | Yes | Yes | Yes |
| Category 4: Motor/trophic—decreased range of motion and/or motor dysfunction (weakness, tremor, dystonia) and/or trophic changes (hair, nail, skin) | Yes | Yes | Yes |
| C: 1 symptom in 3 of the 4 categories | |||
| Category 1: Sensory—evidence of hyperesthesia and/or allodynia | Yes | Yes | Yes |
| Category 2: Vasomotor—evidence of Temperature asymmetry and/or skin color changes and/or skin color asymmetry | Yes | Yes | Yes |
| Category 3: Sudomotor/edema—evidence of edema and/or sweating changes and/or sweating asymmetry | Yes | Yes | Yes |
| Category 4: Motor/trophic—evidence of decreased range of motion and/or motor dysfunction (weakness, tremor, dystonia) and/or trophic changes (hair, nail, skin) | Yes | Yes | Yes |
| D: No other diagnosis that explains CRPS | Yes | Yes | Yes |
NOTE. To confirm the diagnosis of CRPS, A and B and C and D must apply.
CRPS, complex region pain syndrome.
∗
All 3 cases had presented in this series positive symptoms in each one of the A, B, C, D categories for diagnosis of CRPS.