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Amyloidosis as a cause of carpal tunnel syndrome in haemodialysis patients
Authors:J. D. Spencer
Affiliation:1. Cellular and Molecular Biology Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran;2. Neuroscience Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran;1. Poznan University of Technology, Faculty of Chemical Technology, Institute of Chemical Technology and Engineering, Berdychowo 4, PL-60965 Poznan, Poland;2. Adam Mickiewicz University in Poznan, Faculty of Chemistry, Laboratory of Applied Chemistry, Uniwersytetu Poznańskiego 8, PL-61614 Poznan, Poland;3. Poznan University of Life Sciences, Department of Biotechnology and Food Microbiology, Wojska Polskiego 48, PL-60637 Poznan, Poland;4. National Research Institute, Institute of Plant Protection, Węgorka 20, PL-60318 Poznan, Poland
Abstract:Over a five-year period (1981–1985), nine patients on haemodialysis developed carpal tunnel syndrome. Five patients, following biopsy of synovium in the carpal tunnel or biopsy of thickened epineurium of the median nerve, were found to have amyloid deposits in the soft tissues. The relationship between this condition, dialysis arthropathy and long-term haemodialysis is reviewed. In addition, in this small group of patients no relationship to the side of the fistula has been demonstrated and two patients developed recurrent problems despite initial open decompression of the carpal tunnel.
Keywords:
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