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Bilateral carpal tunnel syndrome and motor dysfunction caused by gout and type 2 diabetes: A case report.
| Content Provider | Europe PMC |
|---|---|
| Author | Zhang, Gao-Feng Rong, Cun-Min Li, Wei Wei, Ben-Lei Han, Ming-Tong Han, Qing-Luan |
| Copyright Year | 2023 |
| Abstract | BACKGROUNDCarpal tunnel syndrome (CTS) has been associated with gout and type 2 diabetes mellitus (T2DM). However, due to insufficient clinical understanding of gout-related CTS and reliance on the diagnostic importance of elevated serum uric acid levels, such cases are prone to missed diagnosis, misdiagnosis, and delayed treatment. In addition, the effect of T2DM on gout - induced carpal tunnel syndrome has not been reported.CASE SUMMARYHerein, we present an unusual case of CTS and motor dysfunction caused by miliary tophaceous gout and T2DM. The patient presented to the hand and foot clinic with paresthesia of the fingers of both hands, especially at night. The patient was diagnosed with type 2 diabetes a month ago. Ultrasonography revealed bilateral transverse carpal ligament thickening with median nerve compression during hospitalization. The patient was successfully treated with carpal tunnel decompression and tendon release. The postoperative pathological examination revealed typical gout nodules. This case suggests that the presence of T2DM could accelerate tophi formation and worsen CTS symptoms, although no definitive proof in this regard has been described previously.CONCLUSIONTophi formation may most likely cause the co-occurrence of CTS and flexor dysfunction in gout and incipient diabetes patients. |
| Volume Number | 11 |
| PubMed Central reference number | PMC10131002 |
| Issue Number | 11 |
| PubMed reference number | 37123306 |
| Journal | World Journal of Clinical Cases |
| e-ISSN | 23078960 |
| DOI | 10.12998/wjcc.v11.i11.2535 |
| Language | English |
| Publisher | Baishideng Publishing Group Inc |
| Publisher Date | 2023-04-01 |
| Access Restriction | Open |
| Rights License | This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Subject Keyword | Carpal tunnel syndrome Motor dysfunction Tophaceous gout Type 2 diabetes mellitus Operate Case report |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine |
