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Updated: Jun 19, 2026

Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies
Published on: January 11, 2019
Digital ulcers as the first manifestation of carpal tunnel syndrome
Katja Perdan-Pirkmajer1, Sonja Praprotnik, Matija Tomšič
1Department of Rheumatology, University Medical Centre, Vodnikova 62, 1000, Ljubljana, Slovenia. kperdan@yahoo.co.uk
Abstract:
While carpal tunnel syndrome (CTS) is the most common entrapment neuropathy presented at rheumatologic consultation, its ulcerative variant is rarely described. We report of a case of severe bilateral medial nerve palsy, presented to us for diagnosis of chronic digital ulcers which had been suspected to be rheumatologic in origin. Careful examination revealed an unusual case of CTS in an advanced stage, which presented itself with skin changes only, lacking all the typical neurologic symptoms or rheumatologic background. Our case stresses the importance for rheumatologists to be aware of the ulcerative form of CTS as one of the etiologic differential diagnostic options of digital ulcers.
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