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[风湿性多肌痛中的腕管综合征。全身治疗的临床和肌电图反应]

[Carpal tunnel syndrome in polymyalgia rheumatica. Clinical and electromyographic response to systemic treatment].

作者信息

Schapira D, Nahir A M, Mader R, Scharf E Y

出版信息

Minerva Med. 1987 Mar 15;78(5):339-41.

PMID:3822227
Abstract

The association between carpal tunnel syndrome and Polymyalgia Rheumatica has already been described. As in other systemic diseases the bilaterality of the syndrome is a common finding. Surgical treatment is usually necessary in carpal tunnel syndrome. Three cases of the syndrome associated with polymyalgia rheumatica are presented. Clinical remission and normalization of the electromyographic tracing were achieved by systemic corticosteroid treatment. The relationship between these two conditions is once more confirmed. A "wait and see" period which might eventually avoid unnecessary surgical intervention is strongly recommended.

摘要

腕管综合征与风湿性多肌痛之间的关联已被描述。与其他全身性疾病一样,该综合征的双侧性是常见表现。腕管综合征通常需要手术治疗。本文介绍了3例与风湿性多肌痛相关的该综合征病例。通过全身性皮质类固醇治疗实现了临床缓解和肌电图描记的正常化。这两种病症之间的关系再次得到证实。强烈建议设置一个“观察等待”期,这最终可能避免不必要的手术干预。

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