Clinical Case 7.4

A 58-year-old carpenter attended an orthopedic surgeon because he had difficulty in holding the tools of his trade. For the previous 12 years, he had seen his primary care physician repeatedly complaining of ‘pins and needles’ and numbness in both hands. The orthopedic surgeon confirmed the clinical diagnosis of bilateral carpal tunnel syndrome and performed bilateral decompression of the median nerve at the wrist. Clinical examination showed the hands to be broad and spatulate (Box 7.27) and the surgeon referred him to the Endocrine outpatient clinic.

Box Icon

Box 7.27

Clinical Case 7.4 and the clinical features of acromegaly *. Clinical photographs of the hands and face of Clinical Case 7.4

From: Chapter 7, The pituitary gland

Cover of Endocrinology
Endocrinology: An Integrated Approach.
Nussey S, Whitehead S.
Copyright © 2001, BIOS Scientific Publishers Limited.

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