Patients undergoing continuous ambulatory peritoneal dialysis (CAPD) who developed carpal tunnel syndrome (CTS) were retrospectively studied in 143 centers in Japan.
Among the total 5,050 patients undergoing CAPD between 1980 and 1993 only 7 patients (0.14%) given CAPD developed CTS.
Five of these 7 patients treated solely with CAPD developed CTS 12-108 months after starting CAPD.
The remaining 2 patients who were initially treated with HD for 7-9 years and then switched to CAPD developed this complication 9 years after starting CAPD.
All 7 patients were women, ranging in age from 32 to 70 (average 52) years.
We detected the presence of amyloid deposits in 2 of 5 specimens and bêta2-microglobulin in 2 of 4 specimens from these patients.
It was concluded that CAPD minimizes the emergence of CTS although constant surveillance is necessary to detect CTS in patients during CAPD.
Mots-clés Pascal : Insuffisance rénale, Dialyse péritonéale, Ambulatoire, Canal carpien syndrome, Traitement, Complication, Epidémiologie, Homme, Mongoloïde, Japon, Asie, Compression, Appareil urinaire pathologie, Rein pathologie, Néphropathie, Epuration extrarénale, Système nerveux pathologie, Nerf périphérique pathologie, Système ostéoarticulaire pathologie
Mots-clés Pascal anglais : Renal failure, Peritoneal dialysis, Ambulatory, Carpal tunnel syndrome, Treatment, Complication, Epidemiology, Human, Mongoloid, Japan, Asia, Compression, Urinary system disease, Renal disease, Nephropathy, Extrarenal dialysis, Nervous system diseases, Peripheral nerve disease, Diseases of the osteoarticular system
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0470073
Code Inist : 002B27B03. Création : 01/03/1996.