title: Carpal tunnel syndrome and peripheral polyneuropathy in patients with end stage kidney disease.
abstract: This study was designed to identify the causes of the development of carpal tunnel syndrome (CTS) associated with end stage kidney disease (ESKD). A total of 112 patients with ESKD, 64 on hemodialysis (HD) and 48 on peritoneal dialysis (PD), were enrolled. The duration of ESKD and dialysis, the site of the arteriovenous (A-V) fistula for HD, laboratory data such as blood urea nitrogen, creatinine, and beta-2-microglobulin were determined. Clinical evaluation of CTS and electrophysiological studies for the diagnosis of CTS and peripheral neuropathy were performed. The electrophysiological studies showed that the frequency of CTS was not different in the HD and PD groups (P = 0.823) and the frequency of CTS was not different in the limb with the A-V fistula compared to the contralateral limb (P = 0.816). The frequency of HD and PD were not related to beta-2-microglobulin levels, an indicator of amyloidosis. The frequency of CTS did not increase as the severity of the peripheral neuropathy and the duration of ESKD and dialysis increased (P = 0.307). The results of this study do not support that microglobulin induced amyloidosis or placement of an A-V fistula are associated with an increase in CTS.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Korea University College of Medicine, Seoul, Korea. hkkwon@korea.ac.kr
authors.forename: Hee-Kyu
authors.initials: HK
authors.lastname: Kwon
authors.forename: Sung-Bom
authors.initials: SB
authors.lastname: Pyun
authors.forename: Won Yong
authors.initials: WY
authors.lastname: Cho
authors.forename: Chang Su
authors.initials: CS
authors.lastname: Boo
mesh_terms: D000328:Adult; D000368:Aged; D000686:Amyloidosis / Q000150:complications; D001164:Arteriovenous Fistula / Q000150:complications; D001806:Blood Urea Nitrogen; D002349:Carpal Tunnel Syndrome / Q000150:complications* / Q000175:diagnosis*; D003404:Creatinine / Q000097:blood; D055724:Electrophysiological Phenomena; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000009:adverse effects; D011115:Polyneuropathies / Q000150:complications* / Q000175:diagnosis*; D006435:Renal Dialysis / Q000009:adverse effects; D001613:beta 2-Microglobulin / Q000097:blood
chemical_list: D001613:beta 2-Microglobulin; D003404:Creatinine