Walther B, Bauer H, Gröbner W, Zöllner N
Dtsch Med Wochenschr. 1982 Jun 18;107(24):942-4. doi: 10.1055/s-2008-1070051.
Bilateral carpal tunnel syndrome was observed in a 39-year-old female with gout. Until now carpal tunnel syndrome caused by gout has not been observed in females. Due to marked clinical symptoms neurolysis on the right side had to be performed. The course of the left hand affection was observed while on conservative treatment with a xanthine oxidase inhibitor. As such therapy is possible and successful, it is mandatory to diagnose carpal tunnel syndrome early in gout. Histology showed the cause of carpal tunnel syndrome to be uric acid tendovaginitis.
一名39岁痛风女性患者出现双侧腕管综合征。此前尚未在女性中观察到由痛风引起的腕管综合征。由于明显的临床症状，不得不对右侧进行神经松解术。在使用黄嘌呤氧化酶抑制剂进行保守治疗时，观察左手病情的发展过程。鉴于这种治疗方法可行且成功，痛风患者早期诊断腕管综合征很有必要。组织学检查显示腕管综合征的病因是尿酸腱鞘炎。
