Because of an inflammatory condition was first suspected, he was placed on prednisone 50 mg daily x2W with no change. The complete blood work-up was within normal limits except positive ANA 1:2560, nucleolar pattern with anti-DNA and ENA negative. Past history reveals insulin-dependent diabetes and HBP (on Altace). Then, an inability to press the palms together without a gap (called prayer sign) was documented. He developed paresthesias on both hands, mostly during the night, and severe carpal tunnel syndrome was documented (proven by EMG). BP was 140/90 and no synovitis was documented. ![]() On physical exam, the skin of the hands was thick and tight wax with clear limitation of motion. 44 years old man who complained of painful edema of both hands and feet with limited range of motion that interferes with his work (computer).
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |