Amyloid Detection in the Transverse Carpal Ligament of Patients With Hereditary ATTR V30M Amyloidosis and Carpal Tunnel Syndrome
作者： Raquel Samões , Ricardo Taipa , Kátia Valdrez , Isabel Gonçalves , Manuel Melo Pires
DOI: 10.1080/13506129.2017.1313222
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摘要: AbstractIntroduction: Carpal tunnel syndrome (CTS) is a nonspecific manifestation of hereditary ATTR amyloidosis (ATTRm). Amyloid deposition wild-type TTR (WT-ATTR) has been found in transverse carpal ligament (TCL) idiopathic CTS. We retrospectively studied group patients with ATTRm and CTS submitted to release surgery (CTRS).Methods: From the nerve conduction studies performed our Clinical Unit dedicated between July 2009 October 2013, we selected who fulfilled neurophysiological criteria for CTS, had CTRS whose TCL was available pathology. registries were reviewed amyloid detection ligaments using Congo-red staining.Results: included 16 patients: three males (18.8%), mean age = 46.1 years old, all V30M mutation. At time surgery, four considered asymptomatic 12 symptomatic carriers, five them late-onset (onset age >50 years old). In ...
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