scholarly journals Chronic Miliarial Gout Associated with Carpal Tunnel Syndrome: A Very Rare Clinical Presentation

Author(s):  
Victoria Sadovici-Bobeica ◽  
Lucia Mazur-Nicorici ◽  
Aliona Nicorici ◽  
Virginia Salaru ◽  
Natalia Loghin-Oprea ◽  
...  

This case report describes an unusual form of gout, called miliarial gout, in association with carpal tunnel syndrome in a 54-year-old woman. Miliarial gout was first described in 2007 and is a very rare presentation of chronic tophaceous gout. The latter condition can cause carpal tunnel syndrome, but this association has not previously been described in association with miliarial gout. In addition, the authors discuss the use of the parsimony principle in internal medicine whereby a single cause is first sought for different symptoms presenting at the same time.

2009 ◽  
Vol 25 (1) ◽  
pp. 34-39 ◽  
Author(s):  
Yu-Chuan Lin ◽  
Chung-Hwan Chen ◽  
Yin-Chih Fu ◽  
Gau-Tyan Lin ◽  
Je-Ken Chang ◽  
...  

2021 ◽  
Vol 11 (2) ◽  
pp. 154-160
Author(s):  
D. Y. Kulakov ◽  
V. V. Lyalina ◽  
E. A. Skripnichenko ◽  
S. G. Pripisnova ◽  
A. A. Maksimov ◽  
...  

Carpal tunnel syndrome is the most common peripheral compression neuropathy and can be caused by many diseases and conditions, including the formation of gouty tophi in various structures of the tunnel. This publication provides a review of literature and a case report on Carpal tunnel syndrome in a 58-year-old male patient with tophaceous gout. The case is characterized by the extremely rare combination of median nerve compression and tendons dysfunction due to the tophi deposits in the flexor tendons of the hand.


Neurosurgery ◽  
2007 ◽  
Vol 60 (5) ◽  
pp. E956-E956 ◽  
Author(s):  
Hu Liang Low ◽  
Viraliur P. Sivasamy ◽  
A. Paul Griffiths ◽  
Robert M. Redfern

Abstract OBJECTIVE Implantation epidermoid cysts have been reported after a variety of surgical procedures. Although carpal tunnel surgery is the most common peripheral nerve operation, there have been no previous reports of these cysts after carpal tunnel decompression. We present a case of an implantation epidermoid cyst after carpal tunnel surgery. CLINICAL PRESENTATION A 41-year-old man presented with recurrence of carpal tunnel syndrome and an enlarging mass at the site of his previous carpal tunnel decompression. INTERVENTION The operation site was re-explored, and a subcutaneous mass was removed. This was histologically shown to be an implantation epidermoid cyst. CONCLUSION The possibility of an implanted epidermoid cyst should be considered in any patient who presents with a recurrence of carpal tunnel symptoms and a mass at the site of the previous operation. It is possible that the occurrence of these cysts may be related to the use of polyglactin sutures for wound closure. In this case, the result of surgery was excellent.


Orthopedics ◽  
2004 ◽  
Vol 27 (8) ◽  
pp. 862-863 ◽  
Author(s):  
John T Rich ◽  
David C Bush ◽  
Chris J Lincoski ◽  
Thomas M Harrington

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