CARPAL TUNNEL SYNDROME - ULCERATIVE AND MUTILATING VARIANT

  • Neide Pereira Interna do Internato Complementar de Dermatologia e Venereologia/Resident, Dermatology and Venereology
  • Maria Miguel Canelas Assistente Hospitalar de Dermatologia e Venereologia/Consultant, Dermatology and Venereology
  • Ricardo Vieira Assistente Hospitalar de Dermatologia e Venereologia/Consultant, Dermatology and Venereology
  • Américo Figueiredo Director de Serviço; Professor Doutor de Dermatologia e Venereologia dos Hospitais da Universidade de Coimbra/ Head of Dermatology Department; Professor of Dermatology and Venereology of Coimbra University Serviço de Dermatologia, Hospitais da Universidade de Coimbra, EPE, Coimbra, Portugal
DOI: https://doi.org/10.29021/spdv.69.3.85

Abstract

Background: The cutaneous changes related to the carpal tunnel syndrome are rare.

Case report: We describe the case of a 77 years old, male patient who had lesions limited to the sesnsorial area of his left hand’s median nerve. The lesions were ulcerations in the second and third fingers, cutaneous hyperkeratosis, dys- trophic changes in the nails, pus-filled inflammation, shrinkage of the distal phalanxes and acral osteolysis displayed in the hand’s radiography. The patient, who until that time refused the decompressive surgery of the median nerve, was once more redirected to an Orthopaedic consult.

Discussion: Bouvier was the first to describe the ulcerative and mutilating variant of carpal tunnel syndrome, whi- ch includes skin (atrophy, anhidrosis, erythema, swelling, blisters, sclerodactyly, and indolent ulcers), nail and bone changes(acro-osteolysis). Surgical decompression is the definitive treatment for this severe form of the disease, leading to a considerable improvement. However,osteolysisis irreversible.

KEYWORDS – Carpal Tunnel Syndrome; Acral-osteolysis; Nails, Malformed; Skin Ulcer.

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Published
2011-09-28
How to Cite
Pereira, N., Canelas, M. M., Vieira, R., & Figueiredo, A. (2011). CARPAL TUNNEL SYNDROME - ULCERATIVE AND MUTILATING VARIANT. Journal of the Portuguese Society of Dermatology and Venereology, 69(3), 467. https://doi.org/10.29021/spdv.69.3.85
Issue
Vol 69 No 3 (2011): Julho - Setembro
Section
Case Reports

All articles in this journal are Open Access under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).

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