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A case report is presented detailing the development, medical and therapeutic treatment of a patient with severe complex regional pain syndrome of the upper limb. The sudden spontaneous recovery of this patient’s symptoms is discussed and the evidence for diagnosis of complex regional pain syndrome is reflected upon with reference to the adapted Budapest diagnostic criteria.

Cold intolerance is a cause of signifi cant morbidity following trauma to the upper limb and hand, yet very little research has been undertaken to investigate the phenomenon following elective hand surgery. This retrospective study, incorporating a postal questionnaire and case note review, investigates incidence and risk factors of cold intolerance in a series of patients who underwent corrective surgery for Dupuytren's disease. The incidence of cold intolerance following surgery for Dupuytren's disease was 44%, and no association was found between the development of cold intolerance and either age, gender, smoking status or employment status. Further research investigating cold intolerance following surgery for Dupuytren's disease and other elective hand surgery is required. The present study demonstrates that cold intolerance is a signifi cant complication, not only following traumatic hand injury, but also following elective surgery for Dupuytren's disease.

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