Karpal Tunel Sendromunun �iddetinin belirlenmesinde hipohidroz ve dermatolojik bulgular

At��, G�ldehan; Bilir Kaya, Ba�ak

Karpal Tunel Sendromunun �iddetinin belirlenmesinde hipohidroz ve dermatolojik bulgular [Haydarpasa Numune Med J]

Haydarpasa Numune Med J. 2019; 59(3): 287-290 | DOI: 10.14744/hnhj.2018.74318

Karpal Tunel Sendromunun �iddetinin belirlenmesinde hipohidroz ve dermatolojik bulgular

G�ldehan At��¹, Ba�ak Bilir Kaya²
¹Sa�l�k Bilimleri �niversitesi, Haydarpa�a Numune E�itim ve Ara�t�rma Hastanesi, Dermatoloji Klini�i, �stanbul, T�rkiye
²Sa�l�k Bakanl��, Erenk�y Fizik Tedavi ve Rehabilitasyon Hastanesi, Fiziksel Tedavi ve Rehabilitasyon Klini�i, �stanbul, T�rkiye

G�R�� ve AMA�: Karpal t�nel sendromu (KTS) s�k g�r�len bir tuzak n�ropatidir. KTS ile ili�kili baz� deri bulgular� ve hipohidrozis bildirilmi�tir. Bu �al��man�n amac� KTS�li hastalarda hipohidroz insidans�n� ve e�lik eden deri bulgular�n� belirlemek ve KTS �iddeti ile hipohidrozis ve e�lik eden deri bulgular� aras�ndaki potansiyel ili�kiyi ortaya koymakt�r.
Y�NTEM ve GERE�LER: KTS tan�l� 34 hasta �al��maya al�nd�. KTS �iddeti hafif, orta, �iddetli olmak �zere 3 guruba ayr�ld�. T�m hastalar e�lik edebilecek deri bulgular�n� saptamak i�in muayene edildi. Terlemede de�i�ikli�i tespit etmek i�in iyot-ni�asta testi yap�ld�.
BULGULAR: 34 hastan�n 29�unda (%85.3) KTS bilateraldi. 63 KTS�li el tespit edildi. 36 elde (%57.1) deri bulgusu saptand�. En s�k g�zlenen deri bulgular� kontakt dermatit, parmaklarda a�r�l� �i�lik ve kserozisti. Hipohidroz 16 elde (%47) tespit edildi. Hipohidroz orta ve �iddetli KTS�li hastalarda istatistiksel olarak anlaml� d�zeyde s�k tespit edildi (p: 0.000).
TARTI�MA ve SONU�: Hipohidroz KTS�de s�k rastlanan ve hastal�k �iddeti ile ili�kili bir bulgudur. ��pheli deri bulgular�n�n ve hipohidrozun varl��nda KTS ak�lda tutulmal�d�r.

Anahtar Kelimeler: Karpal t�nel sendromu, hipohidroz, dermatoloji

Hypohidrosis and Dermatological Manifestations as Guides for the Severity of Carpal Tunnel Syndrome

G�ldehan At��¹, Ba�ak Bilir Kaya²
¹Department of Dermatology, University of Health Sciences, Haydarpa�a Numune Training and Research Hospital, Istanbul, Turkey
²Department of Physical Medicine and Rehabilitation, Government of Health Erenk�y Physical Therapy and Rehabilitation Hospital, Istanbul, Turkey

INTRODUCTION: Carpal tunnel syndrome (CTS) is a common entrapment neuropathy. Hypohidrosis along with some skin findings have been reported to be associated with CTS. Our aims are to detect the incidence of hypohidrosis and accompanying skin manifestations in patients with CTS and to investigate potential relationships between the severity of CTS and the accompanying skin manifestations/hypohidrosis.
METHODS: Thirty-four patients with CTS were enrolled in the study. The severity of CTS was divided into three categories: mild, moderate, and severe. The patients were examined to detect skin findings occurring due to CTS. The starch iodine test was applied to measure hypo- or hyperhidrosis.
RESULTS: Of the 34 patients, 29 (85.3%) had bilateral CTS and 63 hands with CTS were evaluated. Skin manifestations were detected in 36hands (57.1%) with CTS. The most common skin findings were contact dermatitis, painful swelling on fingers, and xerosis. Hypohidrosis was detected on 16 hands (47%) with CTS and was found to be statistically more common on the hands with moderate or severe CTS (p=0.000).
DISCUSSION AND CONCLUSION: Hypohidrosis is a common finding of CTS and is associated with severe disease. If there is presence of suspicious skin findings and hypohidrosis on hands and fingers, a differential diagnosis of CTS should be kept in mind.

Keywords: Carpal Tunnel syndrome, hypohidrosis, dermatology.

Sorumlu Yazar: G�ldehan At��, T�rkiye
Makale Dili: �ngilizce

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