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We hypothesised that some complex regional pain syndromes (CRPS) may have a postinfectious and/or autoimmune basis. Sera from 92 patients with CRPS and 92 controls were investigated for immunoreactivity to Campylobacter strains and to rodent tissues. Both IgA-antibodies to Campylobacter and tissue-specific reactivity were often present in patients with short disease duration (< or = 1.5 years). Patients with minimal preceding trauma had stronger nervous tissue-specific reactivity than other patients, regardless of disease duration. These results provide preliminary evidence for immune activation early in CRPS and, additionally, that patients with minimal trauma may comprise an autoimmune subgroup.

Original publication

DOI

10.1016/j.jneuroim.2005.01.018

Type

Journal article

Journal

J Neuroimmunol

Publication Date

05/2005

Volume

162

Pages

184 - 189

Keywords

Adult, Analysis of Variance, Animals, Autoantibodies, Campylobacter, Campylobacter Infections, Chi-Square Distribution, Complex Regional Pain Syndromes, Embryo, Mammalian, Female, Humans, Immunohistochemistry, Linear Models, Male, Mice, Middle Aged, Peripheral Nerves, Serology, Spinal Cord, Time Factors