title: Blisters, ulceration and autonomic neuropathy in carpal tunnel syndrome.
abstract: We describe three patients with trophic ulceration and blistering of the fingertips associated with carpal tunnel syndrome. One of the patients also had non-insulin-dependent diabetes mellitus. Autonomic neuropathy distal to the carpal tunnel was probably present in all subjects at the time of presentation; in the patient with recent symptoms the skin was warm, and sweating was virtually absent, whilst the other two patients described cold skin, consistent with prolonged autonomic neuropathy.
authors.affiliation: Department of Dermatology, Cumberland Infirmary, Carlisle, U.K.
authors.forename: N H
authors.initials: NH
authors.lastname: Cox
authors.forename: D M
authors.initials: DM
authors.lastname: Large
authors.forename: W D
authors.initials: WD
authors.lastname: Paterson
authors.forename: F A
authors.initials: FA
authors.lastname: Ive
mesh_terms: D000368:Aged; D001342:Autonomic Nervous System Diseases / Q000150:complications*; D001768:Blister / Q000150:complications*; D002349:Carpal Tunnel Syndrome / Q000150:complications*; D005260:Female; D006229:Hand Dermatoses / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012883:Skin Ulcer / Q000150:complications*