Fortschritte der Medizin
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Fortschritte der Medizin · May 1999
[Neurogenic pain after deafferentation through trauma. Little-known pain syndrome following amputation, brachial plexus injury and nerve root avulsion].
Amputations may be followed by such phenomena as phantom-limb pain, and pain and involuntary movements of the stump. The sequelae of brachial plexus injuries or cervical root avulsion--the second large group of deafferentiation lesions associated with neurogenic pain--are less varied, and most of these cases involve damage to the substantia gelatinosa of the spinal cord. The two groups of deafferentiation lesions are described on the basis of our own experience and reports in the literature. A generally applicable effective form of treatment is not known, and possible therapeutic approaches, which need to be adapted individually, are discussed.
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Fortschritte der Medizin · May 1999
Case Reports[Therapy of recurrent exudative erythema multiforme. Effectiveness of thalidomide--report of a case].
The authors report on the efficacy of thalidomide used to treat recurrent erythema exsudativum multiforme associated with herpes simplex with massive involvement of the entire skin and also the nasal mucosa in a 73-year-old woman. Efficacy in terms of healing and the prevention of recurrence proved to be very good.