Journal of pain and symptom management
The most recent articles from:
J Pain Symptom Manage
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J Pain Symptom Manage · Mar 1989
Case ReportsThoracic epidural morphine in the palliation of chest wall pain secondary to relapsing polychondritis.
Relapsing polychondritis is a rare disease of unknown etiology characterized pathologically by degeneration of the chondrocyte and replacement with fibrous connective tissue. The following case report presents the pain management of a 34-yr-old man suffering from intractable pain secondary to relapsing polychondritis. ⋯ Factors in the selection of an implantable narcotic delivery system as well as practical considerations including tolerance and potential side effects of intraspinal narcotics are discussed. Ethical issues surrounding the chronic use of intraspinal narcotics in the setting of chronic benign pain are also discussed.