Research Article

Serum Soluble Interleukin-2 Receptor Does Not Differentiate Complex Regional Pain Syndrome from Other Pain Conditions in a Tertiary Referral Setting

Table 6

CRPS severity score-Database Form: presence of symptoms and signs of CRPS in each group.

SymptomsNo CRPS ()CRPS ()Significance

NRS at time of visit (median, Q3-Q1)7.0 (8.0-3.0)7.0 (8.0-6.0)NS
NRS 24 hours before visit (median, Q3-Q1)7.5 (8.0-6.3)8.0 (8.0-7.0)NS
Continuing pain (, %)18 (62.1)23 (100)
Allodynia and/or hyperalgesia27 (93.1)23 (100)NS
 Allodynia14 (48.3)17 (73.9)NS
 Hyperalgesia24 (82.8)23 (100)NS
Temperature asymmetry27 (93.1)20 (87.0)NS
 Affected side warmer11 (37.9)7 (30.4)NS
 Affected side colder9 (31.0)5 (21.7)NS
 Affected side warm/cold7 (24.1)8 (34.8)NS
Color asymmetry23 (79.3)23 (100)
 Red14 (48.3)13 (56.5)NS
 Blue5 (17.2)8 (34.8)NS
 Other color12 (41.4)14 (60.9)NS
Sweating asymmetry12 (41.4)14 (60.9)NS
Edema24 (82.8)21 (91.3)NS
Dystrophic changes15 (51.7)17 (73.9)NS
 Nails10 (34.5)12 (52.2)NS
 Hair8 (27.6)11 (47.8)NS
 Skin6 (20.7)10 (43.5)NS
Motor abnormalities29 (100)23 (100)N/A
 Weakness25 (86.2)22 (95.7)NS
 Tremor15 (51.7)13 (56.5)NS
 Dystonia13 (44.8)10 (43.5)NS
 Decreased AROM20 (69.0)22 (95.7)
 Myoclonus4 (13.8)9 (39.1)NS
SignsNo CRPS ()CRPS ()Significance
Hyperalgesia to pinprick11 (37.9)17 (73.9)
Allodynia18 (62.1)22 (95.7)
 Light touch6 (20.7)19 (82.6)
 Deep joint pressure9 (31.0)18 (78.3)
 Vibration8 (27.6)14 (60.9)
 Cold2 (6.9)11 (47.8)
 Heat3 (10.3)11 (47.8)
Temperature asymmetry on palpation2 (6.9)8 (34.8)
 Affected side cooler1 (3.4)8 (34.8)
 Affected side warmer1 (3.4)0NS
Color asymmetry4 (13.8)12 (52.2)
 Red3 (10.3)9 (39.1)
 Blue or pale3 (10.3)4 (17.4)NS
 Mottled04 (17.4)N/A
 Scar00N/A
Sweating asymmetry1 (3.4)6 (26.1)
 Increased on affected side1 (3.4)6 (26.1)
 Decreased on affected side00N/A
Asymmetric edema1 (3.4)6 (26.1)
Dystrophic changes4 (13.8)7 (30.4)NS
 Nails1 (3.4)5 (21.7)NS
 Hair3 (10.3)2 (8.7)NS
 Skin1 (3.4)4 (17.4)NS
Motor abnormalities affected side20 (69.0)21 (91.3)NS
 Tremor or myoclonus2 (6.9)6 (26.1)NS
 Dystonia2 (6.9)7 (30.4)NS
 Decreased AROM16 (55.2)17 (73.9)NS
 Weakness 1/5103 (13.0)N/A
 Weakness 2/5205 (21.7)N/A
 Weakness 3/534 (13.8)5 (21.7)NS
 Weakness 4/5412 (41.4)7 (30.4)NS
CRPS severity score (mean, sd)8.1 (1.9)11.4 (2.2) <0.001

1Weakness 1/5: flicker of movement. 2Weakness 2/5: movement with gravity. 3Weakness 3/5: movement against gravity. 4Weakness 4/5: weak.