Carpal tunnel syndrome in dialysed patients - interdisciplinary experiences.
This paper presents an analysis of patients in hemodialysis with carpal tunnel syndrome. The pathogenesis and diagnostics of the syndrome are discussed, as well as treatment outcomes. The authors argue that treatment methods to avoid amyloidosis caused by dialysis should be introduced as standard procedure, especially in older patients at high risk for amyloidosis. The use of synthetic dialysis membranes, high flux dialysis, hemodiafiltration, and ultra-clean dialysis fluids should be standard practice in these cases. Daily hemodialysis seems to be more effective in preventing amyloidosis than dialysis three times a week. Surgical treatment of carpal tunnel syndrome gives fast relief and should be performed early. Renal transplantation remains the best prevention.
Stanisław
S
Niemczyk
Maciej
M
Was
Małgorzata
M
Gomółka