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  1. 055 医学部附属病院
  2. 0551 学術論文

High prevalence of wild-type transthyretin deposition in patients with idiopathic carpal tunnel syndrome: a common cause of carpal tunnel syndrome in the elderly

http://hdl.handle.net/10091/16883
http://hdl.handle.net/10091/16883
7eeb061a-6481-4097-9ebe-cd652c4f22c3
名前 / ファイル ライセンス アクション
High_prevalence_wild-type_transthyretin_deposition_patients.pdf High_prevalence_wild-type_transthyretin_deposition_patients.pdf (819.0 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2013-04-01
タイトル
タイトル High prevalence of wild-type transthyretin deposition in patients with idiopathic carpal tunnel syndrome: a common cause of carpal tunnel syndrome in the elderly
言語
言語 eng
DOI
関連識別子 https://doi.org/10.1016/j.humpath.2011.03.004
関連名称 10.1016/j.humpath.2011.03.004
キーワード
主題 Carpal tunnel syndrome, Transthyretin, Amyloid, Senile systemic amyloidosis, Aging
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ journal article
著者 Sekijima, Yoshiki

× Sekijima, Yoshiki

en Sekijima, Yoshiki

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Uchiyama, Shigeharu

× Uchiyama, Shigeharu

en Uchiyama, Shigeharu

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Tojo, Kana

× Tojo, Kana

en Tojo, Kana

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Sano, Kenji

× Sano, Kenji

en Sano, Kenji

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Shimizu, Yusaku

× Shimizu, Yusaku

en Shimizu, Yusaku

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Imaeda, Toshihiko

× Imaeda, Toshihiko

en Imaeda, Toshihiko

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Hoshii, Yoshibonu

× Hoshii, Yoshibonu

en Hoshii, Yoshibonu

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Kato, Hiroyuki

× Kato, Hiroyuki

en Kato, Hiroyuki

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Ikeda, Shu-ichi

× Ikeda, Shu-ichi

en Ikeda, Shu-ichi

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信州大学研究者総覧へのリンク
氏名 Sekijima, Yoshiki
URL https://soar-rd.shinshu-u.ac.jp/profile/ja.WhLNuakh.html
信州大学研究者総覧へのリンク
氏名 Uchiyama, Shigeharu
URL https://soar-rd.shinshu-u.ac.jp/profile/ja.HmACupkh.html
信州大学研究者総覧へのリンク
氏名 Kato, Hiroyuki
URL https://soar-rd.shinshu-u.ac.jp/profile/ja.WVkCbaSp.html
出版者
出版者 W B SAUNDERS CO-ELSEVIER INC
引用
内容記述 HUMAN PATHOLOGY. 42(11):1785-1791 (2011)
書誌情報 HUMAN PATHOLOGY

巻 42, 号 11, p. 1785-1791, 発行日 2011-11
抄録
内容記述 Carpal tunnel syndrome is the most common type of entrapment neuropathy. However, the cause of carpal tunnel syndrome remains unclear in most cases. Senile systemic amyloidosis, induced by wild-type transthyretin deposition, is a prevalent aging-related disorder and often accompanied by carpal tunnel syndrome. In this study, we measured the frequency of unrecognized wild-type transthyretin deposition in patients with idiopathic carpal tunnel syndrome. One hundred twenty-three patients with carnal tunnel syndrome, including 100 idiopathic patients, treated by carpal tunnel release surgery were analyzed. Tenosynovial tissues obtained at surgery were analyzed by Congo red and immunohistochemical staining. If staining for transthyretin was positive, the entire transthyretin gene was analyzed by direct DNA sequencing. We also analyzed tenosynovial tissues from 32 autopsy cases as controls. Thirty-four patients (34.0%) with idiopathic carpal tunnel syndrome showed amyloid deposition in the tenosynovial tissue, and all amyloid showed specific immunolabeling with antitransthyretin antibody. Direct DNA sequencing of the entire transthyretin gene did not reveal any mutations, indicating that all amyloid deposits were derived form wild-type transthyretin. Statistical analysis using logistic regression showed that the prevalence of transthyretin deposition in the idiopathic carpal tunnel syndrome group was significantly higher than that in controls (odds ratio, 15.8; 95% confidence interval, 3.3-75.7), and age and male sex were independent risk factors for transthyretin amyloid deposition. Our results demonstrate that wild-type transthyretin deposition is a common cause of carpal tunnel syndrome in elderly men. It is likely that many patients develop carpal tunnel syndrome as an initial symptom of senile systemic amyloidosis.
資源タイプ(コンテンツの種類)
ISSN
収録物識別子タイプ PISSN
収録物識別子 0046-8177
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA00666191
PubMed
識別子タイプ PMID
関連識別子 https://pubmed.ncbi.nlm.nih.gov/21733562
関連名称 21733562
権利
権利情報 Copyright© 2011 Elsevier Inc.
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
WoS
URL http://gateway.isiknowledge.com/gateway/Gateway.cgi?&GWVersion=2&SrcAuth=ShinshuUniv&SrcApp=ShinshuUniv&DestLinkType=FullRecord&DestApp=WOS&KeyUT=000297080700025
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