Ulcero-osteolytic lesions in a woman with type 2 diabetes and carpal tunnel syndrome: A case report and literature review

Romeo, Elisabetta L.; Previti, M.; Giandalia, Annalisa; Russo, Giuseppina T.; Cucinotta, Domenico

doi:10.1016/j.diabres.2016.01.007

Cited by 4 publications

(5 citation statements)

References 19 publications

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“…This variety has been reported in patients with severe chronic diseases, including hypertension, cardiac arrhythmias, amyloidosis and in some patients with diabetes. 9 Dr. Bouvier in 1979 was the first to describe the ulcerated and mutilating variety of this clinical-pathological entity. It is a spectrum of destructive dystrophic changes in the skin, nails, and finally bones.…”

Section: Discussionmentioning

confidence: 99%

Ulcerating variety of carpal tunnel syndrome mimicking scleroderma

M¹,

Ernesto²

2022

MOJOR

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Section: Discussionmentioning

confidence: 99%

Ulcerating variety of carpal tunnel syndrome mimicking scleroderma

M¹,

Ernesto²

2022

MOJOR

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“…10 Other cutaneous signs may include erythema, edema, peri and sub-ungual abscesses, hemorrhagic blisters, adjacent hyperkeratosis and sclerodactily. 7,11 Nails may also be affected, showing discoloration, onycholysis and hyperkeratosis of the nail plate and cuticle hypertrophy. 3,10 Cutaneous involvement occurs in patients with severe damage of motor, sensory and, above all, autonomic fibers of median nerve.…”

Section: Discussionmentioning

confidence: 99%

“…3 The compression of autonomic fibers results in hypohidrosis, swelling and increases skin temperature. 11 Clinical assessment is considered the gold standard for CTS diagnosis. 2 Therefore, it is essential to take an accurate clinical history.…”

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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“…8 Las úlceras digitales en el STC son muy raras. 9 Esta variedad ha sido reportada en pacientes con enfermedades crónicas severas, incluyendo hipertensión, arritmias cardíacas, amiloidosis y en algunos pacientes con diabetes. 9 Bouvier en 1979 fue el primero en describir la variedad ulcerada y mutilante de esta entidad clínico-patológica como un abanico de cambios distróficos destructivos en la piel, uñas, y finalmente los huesos.…”

Section: Conclusiónunclassified

“…9 Esta variedad ha sido reportada en pacientes con enfermedades crónicas severas, incluyendo hipertensión, arritmias cardíacas, amiloidosis y en algunos pacientes con diabetes. 9 Bouvier en 1979 fue el primero en describir la variedad ulcerada y mutilante de esta entidad clínico-patológica como un abanico de cambios distróficos destructivos en la piel, uñas, y finalmente los huesos. 5 Las manifestaciones cutáneas incluyen atrofia de la piel, anhidrosis, eritema, edema, bullas, esclerodactilia, úlceras indoloras de la punta de los dedos, y acro-osteólisis en el área inervada por el nervio mediano.…”

Section: Conclusiónunclassified