Pediatric rheumatology

Efficacy and safety of neridronate in paediatric type I complex regional pain syndrome: a multicentre experience

Clin Exp RheumatolPublished Case series

Authors' conclusion

Our data suggest that in children as in adults with CRPS I, neridronate may represent an effective and safe treatment option, particularly in those who do not respond to other pain treatments.

Study context

Population
Children with CRPS I (Budapest criteria) not responding to previous pharmacological and physical therapy, three paediatric rheumatology centresmean age 10.4 years
Participants
5 children
Outcome
Pain (VAS), average
Follow-up
Pre- vs post-treatment
Methodological detailsmulticentre, retrospective data collection
  • Multicentre
  • Retrospective data collection

Main finding

As reported in the abstract

Patients reporting significant improvement in pain, recovery of physical function and reduced need for pain medications

4 of 5

Average VAS pre-treatment

9.6

Average VAS post-treatment

2.6

Observational data: associations, not effects.

Further findings

Bone oedema on MRI (present in all before treatment)

Bone oedema disappeared
3

Safety

Mild flu-like symptoms (only adverse effect)
1
  • Well-tolerated

Original publication

Efficacy and safety of neridronate in paediatric type I complex regional pain syndrome: a multicentre experience. Clin Exp Rheumatol. Published 8 April 2024. doi:10.55563/clinexprheumatol/oak19l

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