title: [My hands hurt so much!].
abstract: We present the case of a 48-year-old man complaining of pain in his hands. In a first step, a two-sided carpal tunnel syndrome was found, and in the further course of the disease an acromegaly. The combinations of carpal tunnel syndrome, impaired glucose tolerance and radiological findings in the area of the sella turcica were the clues for the diagnosis of acromegaly.
authors.affiliation: Institut für Hausarztmedizin der Universität Zürich.
authors.forename: Christoph A
authors.initials: CA
authors.lastname: Rüst
authors.affiliation: Institut für Hausarztmedizin der Universität Zürich.
authors.forename: Thomas
authors.initials: T
authors.lastname: Rosemann
authors.affiliation: Gesundheitszentrum St. Gallen.
authors.forename: Beat
authors.initials: B
authors.lastname: Knechtle
mesh_terms: D000172:Acromegaly / Q000175:diagnosis*; D000236:Adenoma / Q000175:diagnosis*; D002349:Carpal Tunnel Syndrome / Q000175:diagnosis*; D059350:Chronic Pain / Q000209:etiology*; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D049912:Growth Hormone-Secreting Pituitary Adenoma / Q000175:diagnosis*; D006225:Hand; D006801:Humans; D002546:Ischemic Attack, Transient / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D013581:Synovial Cyst / Q000175:diagnosis*
keywords: Glukosestoffwechselstörung; Karpaltunnelsyndrom; carpal tunnel syndrome; impaired glucose tolerance