Korean J Med.
2004 Nov;67(Suppl 3):S908-S912.
Carpal Tunnel Syndrome caused by tuberculous tenosynovitis in a patient on long-term hemodiaysis
- Affiliations
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- 1Department of Internal Medicine, Gachon Medical School, Gil Medical Center, Incheon, Korea. joonseung@ghil.com
- 2Department of Pathology, Gachon Medical School, Gil Medical Center, Incheon, Korea.
Abstract
- Carpal Tunnel Syndrome (CTS) in patients undergoing long-term hemodialysis is caused by a variety of etiologic factors. Especially deposition of dialysis-related amyloidosis has been regarded as one of important etiologic factors. Although tuberculosis (TB) of wrist is a rare form of extrapulomary TB occurring in approximately 1% of osteoarticular TB in nonuremic patients, occurrence of the CTS as a result of TB tenosynovitis in these patients has been previously reported. To our best knowledge, TB tenosynovitis in hemodialysis patients has not been reported in spite of high incidence of extrapulmonary TB. We report a case of CTS due to TB tenosynovitis in the 53-year-old male receiving hemodialysis for more than eighteen years, confirmed by biopsy in flexor tendon. Initially we made a hasty conclusion that CTS in the patient was caused by dialysis-related amyloidosis.
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