Carpal tunnel syndrome appearing with prominent skin symptoms

Aratari, E.

doi:10.1001/archderm.120.4.517

Cited by 12 publications

(6 citation statements)

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“…A compression of the median nerve of 20 mm Hg causes obstruction of the venous return in the epineural venules and veins [4]. Pain and paresthesia are presumed to be due to ischemia in contrast to neurologic deficit, which is believed to occur due to mechanical compression [3]. This may also explain the fast relief of pain after surgical treatment [5].…”

Section: Discussionmentioning

confidence: 99%

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Carpal Tunnel Syndrome with Ulcerous Skin Lesions

Fritz

Burg²,

Boni³

2000

Dermatology

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We report on a patient suffering from an advanced stage of carpal tunnel syndrome (CTS) with entire loss of cutaneous sensibility and impaired motor function who developed ulcerous skin lesions. In the present case, we would like to focus the attention of the dermatologist on CTS, when skin changes, i.e. atrophy, anhidrosis and ulcerations are found in the sensory zones of the median nerve. The necessity to explore a potential trauma is stressed.

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Section: Discussionmentioning

confidence: 99%

“…This may result in motor, sensory and trophic alterations [1, 2]. Although skin involvements may be present in up to 20% of cases with CTS, they have been rarely described [3]; in the majority they are very subtle, while severe skin changes are usually restricted to advanced cases of CTS [1, 2]. …”

Section: Introductionmentioning

confidence: 99%

Carpal Tunnel Syndrome with Ulcerous Skin Lesions

Fritz

Burg²,

Boni³

2000

Dermatology

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“…If melanonychia is associated with abnormalities of the nail plate or the periungual tissues, the possibilities of onychotillomania, nail biting, frictional trauma, and even carpal tunnel syndrome should be explored (Figure 2) [2, 11]. If melanonychia is symmetric and affects the lateral and external part of the 4th or 5th toenail and great toe, repeated trauma from ill-fitting shoes or overriding toes is a likely cause [2, 12].…”

Section: Melanonychiamentioning

confidence: 99%

Melanonychia

Jefferson

Rich

2012

Dermatology Research and Practice

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Melanonychia, or melanin-derived brown-to-black nail pigmentation, is a diagnostic challenge for clinicians. The most serious disease of the nail unit, melanoma, primarily presents with melanonychia. However, melanonychia most often occurs as a result of benign etiologies such as nail matrix melanocytic activation, nail matrix melanocytic hyperplasia, and nail invasion by melanin-producing pathogens. Regrettably, patients with nail apparatus melanoma are often initially misdiagnosed, and due to diagnostic delays of an average of 2 years, melanoma of the nail unit carries a poor prognosis. Having a thorough knowledge of the various causes of melanonychia and using a systematic approach when evaluating brown-to-black nail pigmentation may help prevent misdiagnosis and thereby improve prognosis.

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“…5 Cutaneous involvement can be detected in 20% of patients with severe CTS. 6 Although CTS is more frequent in women, this variant is more prevalent in males. 2,7 Usually, these patients have been suffering from classical CTS for years, without seeking medical advice.…”

Section: Discussionmentioning

confidence: 99%

Digital Ulcers as Presentation of Carpal Tunnel Syndrome

Gomes

Kieselova

Santiago

et al. 2020

SPDV

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Ulcerating and mutilating variant of carpal tunnel syndrome occurs in longstanding cases of untreated disease. Pa- tients present with painless ulcers of the second and third fingers, accompanied with other cutaneous and sensory changes. These patients are often misdiagnosed as having a Raynaud disease or systemic sclerosis. Clinical assessment is the gold standard for the diagnosis of carpal tunnel syndrome, but hand radiography and electromyography help supporting the diagnosis. The authors present two cases of this ulcerating variant of carpal tunnel syndrome.

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Carpal tunnel syndrome appearing with prominent skin symptoms

Cited by 12 publications

References 0 publications

Carpal Tunnel Syndrome with Ulcerous Skin Lesions

Carpal Tunnel Syndrome with Ulcerous Skin Lesions

Melanonychia

Digital Ulcers as Presentation of Carpal Tunnel Syndrome

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