[Biomarkers in complex regional pain syndrome].

IF 1.1 4区 医学 Q3 ANESTHESIOLOGY
Schmerz Pub Date : 2025-01-20 DOI:10.1007/s00482-024-00856-4
Michael Alexander Harnik, Gudrun Kindl, Frank Birklein, Heike L Rittner
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引用次数: 0

Abstract

Complex regional pain syndrome (CRPS) is a severe pain disorder with an unclear pathophysiology. Biomarkers offer opportunities to enhance diagnosis, stratification, prognosis, and monitoring. Serum markers such as cytokines and microRNAs show potential but require further research. Local skin markers, particularly pro-inflammatory cytokines, are elevated in the acute stage and correlate with disease activity. Imaging techniques such as skeletal scintigraphy and functional magnetic resonance imaging provide valuable insights into structural and functional changes, despite inconsistent results to date. Psychosocial factors, including pain intensity and psychological comorbidities, are important prognostic indicators. Future research should focus on specific biomarkers to develop mechanism-based treatments. A multidisciplinary approach remains crucial for effective treatment.

[复杂局部疼痛综合征的生物标志物]。
复杂区域疼痛综合征(CRPS)是一种病理生理不明确的严重疼痛障碍。生物标志物为加强诊断、分层、预后和监测提供了机会。血清标志物如细胞因子和microrna显示出潜力,但需要进一步研究。局部皮肤标志物,特别是促炎细胞因子,在急性期升高,并与疾病活动相关。成像技术,如骨骼闪烁成像和功能磁共振成像为结构和功能变化提供了有价值的见解,尽管迄今为止的结果不一致。心理社会因素,包括疼痛强度和心理合并症,是重要的预后指标。未来的研究应侧重于特定的生物标志物,以开发基于机制的治疗方法。多学科方法对于有效治疗仍然至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Schmerz
Schmerz 医学-临床神经学
CiteScore
2.00
自引率
20.00%
发文量
64
审稿时长
6-12 weeks
期刊介绍: Der Schmerz is an internationally recognized journal and addresses all scientists, practitioners and psychologists, dealing with the treatment of pain patients or working in pain research. The aim of the journal is to enhance the treatment of pain patients in the long run. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of pain research, pain management and pain symptom management. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
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