Carpal Tunnel Syndrome, Transthyretin Amyloidosis
Conditions
Brief summary
Systemic transthyretin amyloidosis is an aging-related disorder. It is usually associated with cardiac disease but also extends to other organs. Recent studies found that idiopathic carpal tunnel syndrome patients may have amyloid deposition in tenosynovial tissue. The main aims of this project are the characterization of the association between idiopathic carpal tunnel syndrome and transthyretin amyloidosis and its evaluation as a predictive factor of cardiac amyloidosis
Interventions
Congo red and Immunohistochemical analysis and/or Mass spectrometry analysis
Sponsors
Study design
Eligibility
Inclusion criteria
. Patients aged ≥ 60 years old with symptomatic idiopathic carpal tunnel syndrome or other hand surgery indications.
Exclusion criteria
. Diabetes mellitus, hypothyroidism, hemodialysis, rheumatoid arthritis, and other inflammatory arthropathies, multiple myeloma, gout, chondrocalcinosis, Colles fracture, space-occupying lesions, and infectious synovitis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Frequency of transthyretin amyloidosis in synovial in patients with ≥60 years old | 24 months | Number of patients with transthyretin amyloidosis in synovial in relation to total number of patients submitted to hand surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Association between synovial transthyretin amyloidosis with carpal tunnel syndrome | 24 months | Comparison between group 1 and 2 |
| Association between idiopathic carpal tunnel syndrome with cardiac transthyretin amyloidosis | 24 months | Comparison between group 1 and 2 |
Countries
Portugal