Watch out for 'pins and needles' in hands--it may be a case of gout.
We encountered only three patients of carpal tunnel syndrome (CTS) due to tophaceous gout during 25 years of practice in a 'hand clinic' situated in a large metropolis in West India. In two patients, the CTS was bilateral, a rare occurrence in gout. There was an unwarranted delay (up to 9 years) in the diagnosis of both the ailments. In each case, the site of offending tophus was uniquely different.
Patil
V S
VS
Hand Clinic, Pune, India.
Chopra
Arvind
A
Center for Rheumatic Diseases, Hermes Elegance, Convent St., Camp, Pune, 411 001, India. crdp@vsnl.net.
D000328:Adult; D000368:Aged; D000493:Allopurinol / Q000627:therapeutic use; D002349:Carpal Tunnel Syndrome / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005500:Follow-Up Studies; D005938:Glucocorticoids / Q000627:therapeutic use; D006073:Gout / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006074:Gout Suppressants / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D011239:Prednisolone / Q000627:therapeutic use
D005938:Glucocorticoids; D006074:Gout Suppressants; D000493:Allopurinol; D011239:Prednisolone