Acute generalised exanthematous pustulosis: an unusual cause of carpal tunnel syndrome

2021 ◽  
Vol 14 (1) ◽  
pp. e235207
Author(s):  
Xuxin Lim ◽  
Kai Yuen Wong
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Skin Biopsy ◽  
Carpal Tunnel ◽  
Clinical Presentation ◽  
Oral Prednisolone ◽  
Steroid Injections ◽  
Histological Assessment ◽  
Tunnel Syndrome ◽  
Exanthematous Pustulosis ◽  
Bilateral Carpal Tunnel Syndrome

A 65-year-old man presented with generalised erythematous pustular rash following an insect bite. He was initially treated with antibiotics for presumed cellulitis. He subsequently developed bilateral carpal tunnel syndrome. Skin biopsy confirmed a diagnosis of acute generalised exanthematous pustulosis, which resolved with oral prednisolone. He also had steroid injections for his bilateral carpal tunnel syndrome and this recovered uneventfully. Clinical presentation, histological assessment and EuroSCAR criteria were key to the diagnosis and management of this case.

Severe bilateral carpal tunnel syndrome in juvenile chronic arthritis

2003 ◽  
Vol 29 (4) ◽  
pp. 345-348 ◽  
Author(s):  
Oya Ünal ◽  
Levent Özçakar ◽  
Alp Çetin ◽  
Bayram Kaymak
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Juvenile Chronic Arthritis ◽  
Chronic Arthritis ◽  
Tunnel Syndrome ◽  
Bilateral Carpal Tunnel Syndrome

The Relationship of the Double Crush to Carpal Tunnel Syndrome (An Analysis of 1,000 Cases of Carpal Tunnel Syndrome)

1985 ◽  
Vol 10 (2) ◽  
pp. 202-204
Author(s):  
LAWRENCE C. HURST ◽  
DAVID WEISSBERG ◽  
ROBERT E. CARROLL
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Carpal Tunnel Surgery ◽  
Significant Incidence ◽  
Tunnel Syndrome ◽  
Relationship Of ◽  
The Relationship ◽  
Double Crush ◽  
Double Crush Syndrome ◽  
Bilateral Carpal Tunnel Syndrome

In this series of 1,000 cases of carpal tunnel syndrome (888 patients) there is a statistically significant incidence of bilaterality in patients with cervical arthritis. There is also a statistically significant increase in the incidence of diabetes mellitus over the general population. These findings lend further support to Upton’s Double Crush hypothesis. Further, the double crush syndrome predisposes to bilateral carpal tunnel syndrome and may be an important prognostic factor. It may also be an explanation for some of the failures following carpal tunnel surgery and lead surgeons to look for other associated systemic diseases or mechanical blocks, when attempting to alleviate recalcitrant symptoms.

scholarly journals A Fibroma of Tendon Sheath Causing Carpal Tunnel Syndrome: A Case Report of an Atypical Clinical Presentation

2021 ◽  
Vol 82 ◽  
Author(s):  
Ara Ko ◽  
Geun Young Lee ◽  
Sujin Kim ◽  
Jaesung Lee ◽  
Hye Won Hwang
Keyword(s):  
Case Report ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Clinical Presentation ◽  
Tendon Sheath ◽  
Atypical Clinical Presentation ◽  
Tunnel Syndrome

scholarly journals High incidence of absent nerve conduction in older patients with bilateral carpal tunnel syndrome

2010 ◽  
Vol 92 (5) ◽  
pp. 403-405 ◽  
Author(s):  
BO Povlsen
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Nerve Conduction ◽  
Older Patients ◽  
Age Group ◽  
Sensory Conduction ◽  
Satisfactory Outcome ◽  
High Incidence ◽  
Tunnel Syndrome ◽  
Bilateral Carpal Tunnel Syndrome

INTRODUCTION Carpal tunnel syndrome has been reported by some to have a less satisfactory outcome in older patients following surgery. However, this impression is not supported by other investigators but no objective explanation has been suggested for these differences. In our department, such patients are routinely treated with night wrist splints and, if this is unsatisfactory, they are investigated with nerve conduction studies prior to surgery. PATIENTS AND METHODS This paper reports the neurophysiological outcome in a young (< 40 years of age) and an older (> 60 years of age) group of patients with clinical bilateral carpal tunnel syndrome who did not benefit from splints. RESULTS The results showed that both the motor and sensory conduction speeds are significantly lower in the older age group. More importantly in the older group, half had one or more hands where the sensory conduction was absent. In four out of these 10 patients this finding was bilateral and three patients had unilateral absent motor conduction. In the younger group, no patient had absent conduction. CONCLUSIONS Poor surgical outcome in some older patients may be because of irreversibly damaged nerves prior to surgery and pre-operative neurophysiology is, therefore, recommended both for clinical and medicolegal reasons.

scholarly journals Amyloidotic muscle pseudohypertrophy: case report

2001 ◽  
Vol 59 (3A) ◽  
pp. 582-586 ◽  
Author(s):  
Rosana Herminia Scola ◽  
Lineu Cesar Werneck ◽  
Cássio Slompo Ramos ◽  
Ricardo Pasquini ◽  
Hans Graf ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Case Report ◽  
Bone Marrow Transplantation ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Muscle Hypertrophy ◽  
Type I ◽  
Subjective Improvement ◽  
Tunnel Syndrome ◽  
Bilateral Carpal Tunnel Syndrome

The authors report one case of amyloidosis associated with muscular pseudohypertrophy in a 46-year-old woman, who developed weakness, macroglossia and muscle hypertrophy associated with primary systemic amyloidosis. Electromyography showed a myopathic pattern and bilateral carpal tunnel syndrome. The muscle biopsy presented with a type I and II fiber hypertrophy and infiltration of amyloid material in the interstitious space and artery walls. She underwent bone marrow transplantation with stabilization and subjective improvement of the clinical picture.

scholarly journals The Natural History of Carpal Tunnel Syndrome in Lactation

1989 ◽  
Vol 82 (6) ◽  
pp. 349-350 ◽  
Author(s):  
J S Wand
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Natural History ◽  
Carpal Tunnel ◽  
Surgical Decompression ◽  
Steroid Injections ◽  
History Of ◽  
Tunnel Syndrome ◽  
Inflammatory Drugs ◽  
One Year ◽  
Primiparous Women

In a retrospective postal study of 27 women who have developed carpal tunnel syndrome (CTS) in the puerperium, the condition was found to affect predominantly elderly primiparous women (mean age 31.5 years). The condition was associated with breastfeeding in 24 women. The three who did not breastfeed had less severe symptoms which resolved within one month of onset. The symptoms developed a mean of 3.5 weeks following delivery, lasted 6.5 months and started to resolve within 14 days of weaning. Symptomatic treatments with either splint-age, diuretics, non-steroidal anti-inflammatory drugs or steroid injections provided some benefit. Two patients required surgical decompression. All patients were symptom-free by one year.

A Randomized Prospective Comparison of Ultrasound-Guided and Landmark-Guided Steroid Injections for Carpal Tunnel Syndrome

2017 ◽  
Vol 34 (2) ◽  
pp. 107-113 ◽  
Author(s):  
Fariba Eslamian ◽  
Bina Eftekharsadat ◽  
Arash Babaei-Ghazani ◽  
Fateme Jahanjoo ◽  
Mojgan Zeinali
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Ultrasound Guided ◽  
Steroid Injections ◽  
Prospective Comparison ◽  
Tunnel Syndrome
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