A repeated carpal tunnel syndrome due to tophaceous gout in flexor tendon: A case report. Issue 9 (March 2017)

• Record Type: Journal Article
• Authors: Lu, Hui; Chen, Qiang; Shen, Hui
• Other Names: Schaller. Bernhard section editor.
• Is Part Of: Medicine. Volume 96:Issue 9(2017)
• Publication Date: 2017-03
• Subjects: carpal tunnel syndrome -- flexor tendon -- gouty tophus infiltration -- surgery; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000006245
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Rationale: Gouty tophi is a rare cause of CTS. We first report a unique case of repeated CTS with gouty tophi in flexor tendon. In the previous literature, the symptoms cases of CTS were gradually increased. Patient concerns: We report a 44-year-old male porter presented with mass on his left distal forearm combined a repeated carpal tunnel syndrome for 5 years. He felt numbness in fingers and his left palmar. The CTS symptoms had been eased through rest and dugs medication. It recurred twice. Diagnoses: Monosodium urate crystal deposits were found in surgery. Histologic findings confirmed the diagnosis of gout. Interventions: We removed partial of gouty tophus and retained the integrity of the tendon. Outcomes: Two years after the surgery, the patient had not experienced any symptom recurrence. Lessons: Early diagnosis and control of gout are necessary to avoid irreversible complications. The surgery combined with decreasing trioxypurine treatment can improve the treatment outcome of gouty tophus.