Waller D G, Dathan J R
Postgrad Med J. 1985 Feb;61(712):161-2. doi: 10.1136/pgmj.61.712.161.
We report three cases of Raynaud's syndrome with digital ischaemic ulceration, in association with carpal tunnel syndrome. In all cases, the aetiology of the Raynaud's syndrome was probably unrelated to the nerve compression. However, symptoms were worse on the side of the median nerve lesion in two patients and worse on the side with the most severe nerve dysfunction in the third; symptoms were relieved by carpal tunnel decompression in two patients. We suggest that carpal tunnel syndrome may exacerbate Raynaud's syndrome and should be considered particularly in patients with asymmetrical digital lesions.
我们报告3例伴有指端缺血性溃疡的雷诺综合征病例,这些病例均合并腕管综合征。在所有病例中,雷诺综合征的病因可能与神经受压无关。然而,2例患者的症状在正中神经病变侧更严重,第3例患者在神经功能障碍最严重的一侧症状更严重;2例患者经腕管减压后症状缓解。我们认为腕管综合征可能会加重雷诺综合征,对于有不对称性指端病变的患者应特别予以考虑。