Korean J Intern Med.  1997 Jan;12(1):75-79.

A case of carpal tunnel syndrome due to dialysis-related amyloidosis in a patient undergoing long-term hemodialysis

Affiliations
  • 1Department of Internal Medicine, Chonnam University Medical School, Kwangju, Korea.

Abstract

Carpal tunnel syndrome (CTS) is characterized by burning pain, numbness and tingling sensation in the thumb, index and middle fingers and the lateral half of the palm and progressive atrophy of the thenar muscles by compression of the median nerve within the carpal tunnel due to a variety of etiologic factors. Surgical intervention usually successfully relieves symptoms of CTS. Recently CTS has been regarded as one of the major clinical manifestations of dialysis-related amyloidosis due to beta 2-microglobulin deposition and recognized with increasing frequency in patients undergoing long-term hemodialysis. We report a case of carpal tunnel syndrome due to dialysis-related amyloidosis in patients undergoing long-term hemodialysis, confirmed by electromyography and biopsy in transverse carpal ligament and median nerve.


MeSH Terms

Amyloid Neuropathies/physiopathology
Amyloid Neuropathies/etiology*
Biopsy, Needle
Carpal Tunnel Syndrome/surgery
Carpal Tunnel Syndrome/etiology*
Carpal Tunnel Syndrome/diagnosis
Electromyography
Female
Human
Kidney Failure, Chronic/therapy
Middle Age
Renal Dialysis/adverse effects*
Time Factors
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