Winkelmann R K, Connolly S M, Doyle J A
J Am Acad Dermatol. 1982 Jul;7(1):94-9. doi: 10.1016/s0190-9622(82)80015-7.
Carpal tunnel syndrome developed concurrently with cutaneous connective tissue disease in five patients. The skin lesions varied from morphea, lichen sclerosus, fasciitis, and discoid lupus erythematosus to lupus panniculitis. Variable and transitory serologic and direct immunofluorescent findings were noted. In two cases, surgical specimens from carpal tunnel operations had lymphoid nodules. Treatment of the cutaneous connective tissue syndrome (antimalarials, four cases; corticosteroids, two cases) brought healing of the carpal tunnel syndrome as well as improvement of the skin lesions.
5例患者的腕管综合征与皮肤结缔组织病同时发生。皮肤损害多样,包括硬斑病、硬化性苔藓、筋膜炎、盘状红斑狼疮及狼疮性脂膜炎。血清学及直接免疫荧光检查结果各异且呈一过性。2例腕管手术的标本有淋巴小结。皮肤结缔组织综合征的治疗(4例用抗疟药,2例用皮质类固醇)使腕管综合征痊愈,皮肤损害也得到改善。