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Journal of Hand Surgery (British and European Volume)
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Articles

Amyloidosis as a Cause of Carpal Tunnel Syndrome in Haemodialysis Patients

J. D. SPENCER

From Guy’s and Lewisham Hospitals, London

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.

Journal of Hand Surgery (British and European Volume), Vol. 13, No. 4, 402-405 (1988)
DOI: 10.1016/0266-7681(88)90166-0
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